24 Miss. Code. R. 3-11.1 - LA (Program Participant) Application Packet

A. To apply for admission into the DMH Licensed Administrator (LA) program as a "Program Participant," an individual should submit an application packet which contains the following:

1. LA Application Form (which includes sponsorship designation);

2. LA Verification of Employment Form;

3. LA Verification of Work Experience Form;

4. Three Letters of Support;

5. Official Transcript; and,

6. Application Fee - $75.00 fee (submitted in a manner prescribed by the Mississippi Department of Mental Health).

B. Application Forms are located online at the agency (DMH) website, as an addendum to this document. Individuals needing a print copy should contact the Division.

Notes

24 Miss. Code. R. 3-11.1

Section 41-4-7 of the Mississippi Code of 1972, Annotated

Amended 5/1/2017