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Professional Disclosure Statement Contact Information Supervisor: Supervised: (Please complete) Name: La Shauna Dean Name: William Paterson University Email: Email: deanl3@wpunj.edu Phone Number:
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How to fill out professional disclosure statement for

01
Gather all relevant information about your professional background, qualifications, expertise, and experience.
02
Include details about your education, certifications, licenses, and any specializations or areas of focus.
03
Provide information about your professional affiliations, memberships, and any relevant training or workshops you have completed.
04
Outline your professional objectives, values, and approach to working with clients.
05
Include any disclosures about potential conflicts of interest, limitations of services, or other important information that clients should be aware of.

Who needs professional disclosure statement for?

01
Professional disclosure statements are typically required by individuals working in fields such as mental health counseling, social work, coaching, therapy, and other similar professions where clients rely on the practitioner's expertise and guidance.
02
It is also commonly used by professionals in legal, financial, and medical fields to provide transparency and build trust with clients.
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The professional disclosure statement is used to disclose important information about a professional's background, qualifications, and business practices.
Certain professionals, such as financial advisors, attorneys, and real estate agents, are required to file a professional disclosure statement.
Professionals can fill out the professional disclosure statement by providing accurate and complete information about their qualifications, experience, and business practices.
The purpose of the professional disclosure statement is to provide clients and customers with transparency and information about the professional they are working with.
Information such as the professional's education, certifications, licenses, business affiliations, and any disciplinary actions must be reported on the professional disclosure statement.
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