The Direct Method of application is available to applicants whose total hours were:
- completed in Oregon before July 1, 2002, or
- completed in another state.
Accumulated Hours
Applicants may have spent years at excellent worksites, supervised by committed professionals; however, if those circumstances don’t meet the criteria established for Oregon licensure, the hours will not be accepted. The criteria are there to provide objective, measurable standards uniformly applied. There are no “in lieu of” of provisions to allow substitution of credentials, hours, or degree standards.
All client contact hours require the original signature of your clinical supervisor at that time. It is not always easy, or even possible, to obtain signatures from supervisors of long ago, or with whom you have lost contact. This does not change the necessity for original supervisor signatures or credential attestations. This requirement will NOT be waived.
It is very possible that some hours, accumulated outside an approved plan, will not be approvable for licensure purposes. If you are unable to document all the necessary acceptable hours, registration as an intern for the purpose of licensure is mandatory to complete your hours and be licensed. You may change your method of application without charge, by notifying the office, completing and submitting the additional intern forms within one year of the date of your original application.
What Forms are Required?
Send the materials listed below in one envelope to:
Oregon Board of Counselors and Therapists
Unit 14
PO Box 4395
Portland OR 97208-4395
- Check for $125 made payable to the Oregon Board of Counselors and Therapists.
- Form 1 : APPLICANT INFORMATION / REQUEST FOR LICENSURE
- Form 2: POST-DEGREE SUPERVISED WORK EXPERIENCEis to document post-graduate work experience. You use this form to document hours completed out-of-state, or after graduation and prior to July 1, 2002. Page 1 has boxed instructions to both you and your supervisor. List all your client contact and supervision hours for the time period. Do not edit the hours or submit only the hours you think will qualify; the totals and the supervision level are up for review and can’t be determined without a list of actual hours.**
- Form 2A: DEGREE PROGRAM WORK EXPERIENCE documents your graduate school client contact hours and contains separate, boxed instructions to both you and your graduate school. This is for LPC applicants.**
- Form 3: EXAMINATION VERIFICATION should be completed only if you have already taken a licensing exam and are submitting a verification.**
- Form 5: PROFESSIONAL DISCLOSURE STATEMENT GUIDELINE is a sample with instructions. All applicants must submit a Professional Disclosure Statement, tailoring it to fit their current employment or as they plan to use it once they relocate.
- Form 6A: GRADUATE DEGREE should be completed only by to programs that do not have CACREP, COAMFTE, CORE, or Board approval. The form is preceded by a letter to you [Dear Applicant] and another letter to the school [Dear Graduate School Representative]. Please send the graduate school their letter along with Form 6A. Every question must be answered and where indicated, numbered attachments must be provided to document the degree information. This is time-consuming but all the information should be available in the school’s published material, current or archived. This form keeps the door open for graduates from schools that have not submitted their programs to the Board for approval.**
- Official Transcript: Your graduate school must send the transcript directly to the Board office at: Oregon Board Licensed Professional Counselors and Therapists, 3218 Pringle Rd SE, #250, Salem OR 97302-6312.
** These forms may be submitted by applicant after initial application is filed, or sent directly by supervisor or graduate school.
General Information About Our Forms
Multiple-page forms show the number of pages in the upper left corner: Form #2, Page 2 of 4. Although it sounds elementary, submitting partial forms is a common oversight. Every page of each form must be stapled together to be a complete submission.
“Current” requirements and application forms. You will be required to qualify under requirements in place at the time of application. The requirements and the forms may change over time as licensure evolves. Check the date of the forms [in the lower left corner of the first page] to be sure you are completing an application not more than two years old. Once your application is submitted, you will have one year to qualify for registration, licensure or examination.
Materials received prior to your application, such as transcripts or exam scores, are kept for one year and then destroyed if a Request for Licensure Form #1 and fee are not received.
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