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Professional Disclosure Statement
Stacey Watkins Griffith, Min
NC Freebased Practicing Pastoral Counselor
Sanctuary Counseling Group
Office: (704) 3755354, Ext. 409
Fax: (704) 3753069
www.sanctuarycounselinggroup.org
Qualifications
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How to fill out professional disclosure statement

How to fill out professional disclosure statement
01
To fill out a professional disclosure statement, follow these steps:
02
Begin by including your name, contact information, and professional title at the top of the document.
03
Clearly state the purpose of the disclosure statement, which is to provide detailed information about your professional background and qualifications.
04
Provide a summary of your education, including degrees earned, institutions attended, and areas of specialization.
05
List any professional licenses or certifications you hold, along with the issuing authorities and expiration dates.
06
Detail your professional experience, including previous positions held, companies or organizations worked for, and dates of employment.
07
Include information about any professional affiliations or memberships in relevant organizations.
08
Highlight any additional training or professional development activities you have participated in.
09
Identify any publications, presentations, or research you have contributed to in your field.
10
Discuss any honors, awards, or recognition you have received for your work.
11
Provide references or testimonials from clients or colleagues who can vouch for your expertise and professionalism.
12
Review the completed disclosure statement for accuracy and completeness, making any necessary revisions or updates.
13
Sign and date the document to indicate that the information provided is true and accurate to the best of your knowledge.
14
Remember to update your professional disclosure statement regularly to ensure it reflects your current qualifications and experiences.
Who needs professional disclosure statement?
01
A professional disclosure statement is typically required for individuals in certain professions or industries. Those who may need a professional disclosure statement include:
02
- Healthcare professionals, such as doctors, nurses, and therapists
03
- Attorneys and legal professionals
04
- Financial advisors and investment professionals
05
- Contractors and construction professionals
06
- Consultants and independent contractors
07
- Educators and academic professionals
08
- Researchers and scientists
09
- Professional service providers, such as accountants, architects, or engineers
10
- Anyone who provides services or advice in a regulated field and needs to disclose their credentials and qualifications to clients or employers.
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What is professional disclosure statement?
Professional disclosure statement is a document that provides information about a professional's background, qualifications, and business practices.
Who is required to file professional disclosure statement?
Professionals such as financial advisors, attorneys, and therapists are typically required to file a professional disclosure statement.
How to fill out professional disclosure statement?
To fill out a professional disclosure statement, professionals must provide accurate and up-to-date information about their education, experience, and any potential conflicts of interest.
What is the purpose of professional disclosure statement?
The purpose of a professional disclosure statement is to inform clients and the public about a professional's qualifications and business practices, helping to establish trust and transparency.
What information must be reported on professional disclosure statement?
Information such as educational background, certifications, past work experience, services offered, and any potential conflicts of interest must be reported on a professional disclosure statement.
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