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STATE OF MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES APPLICATION FOR FULL CERTIFICATION AS A MENTAL HEALTH PROFESSIONAL PERSON PART I APPLICANT INFORMATION A. Applicant's Name: Home Address:
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01
Carefully read and understand the instructions provided on the application form.
02
Fill in your personal information accurately, such as your name, address, contact details, and social security number.
03
Provide details about your educational background, including the names of schools attended and degrees earned.
04
Mention your previous work experience, including the names of companies, job titles, and dates of employment.
05
Fill out the section pertaining to the position or program you are applying for, clearly stating your qualifications and reasons for applying.
06
If applicable, provide any additional information or documentation required, such as transcripts, resumes, or letters of recommendation.
07
Double-check all the information you have entered to ensure it is correct and complete.
08
Sign and date the application form before submission.

Who needs application - department of?

01
Individuals seeking employment within the department, such as job applicants.
02
Students applying for admission to educational programs offered by the department.
03
Individuals or organizations applying for grants, funding, or permits from the department.
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Anyone seeking to interact or engage with the department's services or programs, depending on the specific requirements set forth by the department.
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The application refers to a formal request submitted to the department for specific permits, licenses, or services.
Individuals or entities seeking permits, licenses, or services from the department are required to file the application.
To fill out the application, carefully complete each section with accurate information, attach required documents, and submit it according to the department's guidelines.
The purpose of the application is to formally request the necessary approvals, licenses, or permits needed to undertake specific activities regulated by the department.
The application must report personal identification details, relevant business information, purpose of the application, and any supporting documentation required by the department.
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