You will need to choose one of the application packet(s) listed below. Every form in the packet that you choose must be submitted if it applies to your situation.
Petitions for refunds must be in writing and may be granted only if the criteria set forth in Wis. Admin. Code s. RL 4.06 are met.
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Advanced Practice Social Worker Application
(Initial License, Work Experience
as a CSW/CAPSW/CISW and Temporary License)
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Form # |
Title
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Instructions for Advanced Practice Social Worker Application |
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Application For Advanced Practice Social Worker |
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Supervised Clinical Field Training |
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Certificate of Professional Education |
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Academic Verification Form (Pre graduation optional) |
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Wisconsin Statutes and Rules Open Book Exam (This is required
if not taken within the last 5 years.) |
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Convictions and Pending Charges |
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Notices (Department Information) |
Advanced Practice
Social Worker Reciprocal Application
(for people licensed in other
states. NOTE: Temporary Licenses are not available for out of state
applicants.)
|
Form # |
Title
|
|
|
Instructions for Advanced Practice Social Worker Application |
|
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Application for Advanced Practice Social Worker |
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Certificate of Professional Education |
|
|
Supervised Clinical Field Training |
|
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Verification of Credential |
|
|
Wisconsin Statutes and Rules Open Book Exam (This is required
if not taken within the last 5 years.) |
|
|
Convictions and Pending Charges |
|
|
Notices (Department Information) |
Substance Abuse Specialty
Authorization Forms
|
Form # |
Title
|
|
|
Application for Substance Abuse Specialty Authorization |
|
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Affidavit Regarding Supervised Experience for Substance Abuse
Specialty Authorization |
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Substance Abuse Specialty Authorization Education and Training
Pharmacology form |
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Substance Abuse Specialty Authorization Education and Training
form |
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Department approved pre-certification programs for substance
abuse education. (Additional programs will be added as programs
are submitted and approved. *NOTE* If you completed one of
the approved programs, you may submit an official transcript in
lieu of the Education and Training forms.) |
