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Extended History Form The following questionnaire contains CONFIDENTIAL information and will only be seen by your therapist. Any duplication, transmittal, reduplication, or transfer of these records

How to fill out extended history form

How to fill out the extended history form:

1. Start by carefully reading the instructions provided with the form. This will give you a clear understanding of the information requested and the format in which you need to provide it.
2. Begin by providing your personal details, such as your full name, date of birth, and contact information. Make sure to double-check the accuracy of the information before proceeding.
3. Next, you will be asked to provide your educational history. This typically includes information about the schools you have attended, the degrees or certifications earned, and any relevant coursework or specializations.
4. Move on to the work experience section. Here, you will need to list your previous employment history, starting with the most recent position. Include the job title, dates of employment, responsibilities, and any notable achievements or promotions.
5. If the form requires information about your professional licenses, make sure to include these in the designated section. Provide the license numbers, their issuing authority, and the expiration dates if applicable.
6. Some extended history forms may also ask for information about your military service, if applicable. Provide details about your branch, dates served, and any awards or commendations received.
7. Finally, review your completed form for any errors or missing information. Ensure that all sections and required fields have been completed accurately and thoroughly.

Who needs an extended history form?

1. Job applicants: Many employers require job applicants to fill out an extended history form as part of the hiring process. This allows employers to gather comprehensive information about an individual's education, work experience, and other relevant details.
2. Students: Educational institutions may request an extended history form to assess an applicant's qualifications or to determine eligibility for scholarships, grants, or specific programs.
3. License applicants: Certain professions like nursing, engineering, or real estate may require applicants to submit an extended history form to obtain a license. This helps regulatory bodies assess an individual's qualifications and ensure compliance with industry standards.
4. Background checks: Extended history forms may also be used for conducting background checks for various purposes, including security clearance, immigration processes, or professional memberships.

Remember, always follow the specific instructions provided with the form and provide accurate and comprehensive information to ensure a successful submission.

For pdfFiller’s FAQs

What is extended history form?

Extended history form is a document that captures a detailed account of past events or experiences.

Who is required to file extended history form?

Anyone who needs to provide a detailed account of their past or previous experiences may be required to file an extended history form.

How to fill out extended history form?

Extended history forms can typically be filled out by providing information in the designated sections or fields on the form.

What is the purpose of extended history form?

The purpose of an extended history form is to gather and organize detailed information about past events or experiences for record-keeping or analysis purposes.

What information must be reported on extended history form?

The information reported on an extended history form may vary depending on the specific requirements, but typically includes details such as dates, descriptions, and any relevant documentation.

How can I get extended history form?

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