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MA in Counseling and Professional Clinical Counselor (PCC) PROGRAM WORKSHEET NAME: LastFirstMiddle SSN #Street Address CityZipID #TelephoneEMAIL Date Admitted to MA/PCC: Clearance Expiration Date:
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Enter your personal information in the designated fields, such as name, address, and contact information.
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Fill out the program details section, including the program name, location, and description.
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Complete the PCC section by providing information on the program’s performance and compliance metrics.
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Review the completed form for accuracy and completeness.
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It is a program worksheet form used for reporting information related to MA and PCC programs.
Institutions offering MA and PCC programs are required to file this form.
The form must be filled out with accurate information regarding MA and PCC programs offered by the institution.
The purpose of this form is to provide data on MA and PCC programs to relevant authorities.
Information such as program details, enrollment numbers, completion rates, and other related data must be reported.
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