CA BBS 37A-610B 2011 free printable template
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STATE OF CALIFORNIA STATE AND CONSUMER SERVICES AGENCY Governor Edmund G. Brown Jr. Board of Behavioral Sciences 1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830
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Who needs CA BBS 37A-610B?
01
Individuals applying for licensure or renewal with the California Board of Behavioral Sciences (BBS).
02
Professionals in the fields of marriage and family therapy, social work, or clinical psychology.
03
Students or graduates seeking to obtain their associate registration for supervised practice.
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What is CA BBS 37A-610B?
CA BBS 37A-610B is a form used by the California Board of Behavioral Sciences for reporting specific information related to the application and renewal process for various licensing requirements.
Who is required to file CA BBS 37A-610B?
Individuals applying for or renewing their licenses as Marriage and Family Therapists, Licensed Clinical Social Workers, or Licensed Professional Clinical Counselors in California are required to file CA BBS 37A-610B.
How to fill out CA BBS 37A-610B?
To fill out CA BBS 37A-610B, applicants must provide personal identification information, educational background, details of supervised experience, and any disciplinary actions taken against them, following the instructions provided on the form.
What is the purpose of CA BBS 37A-610B?
The purpose of CA BBS 37A-610B is to collect important information from applicants to ensure they meet the qualifications and standards required for licensure in behavioral sciences in California.
What information must be reported on CA BBS 37A-610B?
The information that must be reported on CA BBS 37A-610B includes the applicant's personal information, educational qualifications, supervised experience details, and any past disciplinary actions, as pertinent to their application for licensure.
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