Tenn. Comp. R. & Regs. 1180-04-.03 - PROCEDURES FOR CERTIFICATION
To become certified as a Certified Psychological Assistant in Tennessee, a person must comply with the following procedures and requirements:
(1) An application
packet shall be requested from the Board's administrative office or downloaded
from the Department of Health's website.
(2) An applicant shall respond truthfully and
completely to every question or request for information contained in the
application form. The completed application form and all fees required by the
form and these rules shall be submitted to the Board's administrative
office.
(3) Applications will be
accepted throughout the year.
(4)
An applicant shall submit with the application two (2) signed passport type
photographs taken within the preceding twelve (12) months.
(5) An applicant shall submit with the
application a certified copy or a notarized photocopy of his/her birth
certificate.
(6) It is the
applicant's responsibility to request that the institution(s) of higher
education submit the transcript(s) of all graduate course work directly to the
Board office. The transcript(s) must show the highest degree(s) earned and must
carry the official seal of that institution.
(7) An applicant for certification as a
Certified Psychological Assistant must submit completed worksheets for
evaluation of graduate courses indicating the applicant's allocation of course
credit to substantive psychology course work and to course work completed in
psychological testing and measurement. The applicant must send copies of the
course descriptions from the graduate catalog current at the time of his or her
enrollment.
(8) An applicant must
submit evidence of good moral character and of not being engaged in unethical
practice. Such evidence shall be a minimum of three (3) letters of
recommendation in addition to the practicum documentation. It is the
applicant's responsibility to request references from individuals who have
personal knowledge of, and can attest to, the applicant's education, training
and performance at the specific level of licensure for which the applicant is
applying. All letters of recommendation must contain a statement specifying
that certification as a Certified Psychological Assistant for the applicant is
being recommended. All letters shall be current, original letters written
specifically for the certification application and mailed directly to the Board
by the person providing the information on the signator's letterhead. Such
letters are valid for one (1) year from date of receipt. Additional inquiries
may be initiated by the Board as it may require.
(a) One (1) of the required three (3) letters
must be from a Psychologist with HSP designation, or if the endorser is from
another jurisdiction, HSP equivalent Psychologist. The other letters may be
from licensed Psychologists or licensed Senior Psychological
Examiners.
(b) Letter(s) from the
practicum supervisor(s) shall be submitted. The letter(s) shall provide
specific information about the types of clients and range of services provided
as well as the nature of the internship or practicum site. An overall
evaluation of the quality of services provided by the trainee must be
included.
(c) If the applicant has
received a Masters Degree in psychology and is a student in good standing in a
doctoral degree from an APA approved or CNRHSPP/ASPPB designated training
program in professional psychology, a letter of recommendation from the
Director of Training of that doctoral degree program must be
provided.
(9) An
applicant shall disclose the circumstances surrounding any of the following:
(a) Conviction of any criminal law violation
of any country, state or municipality, except minor traffic
violations.
(b) The denial of
licensure or certification by any other state or the discipline of licensure or
certification by any state.
(c)
Loss or restriction of licensure or certification.
(d) Any civil suit judgment or civil suit
settlement in which the applicant was a party defendant including, without
limitation, actions involving malpractice, breach of contract, antitrust
activity, or any other civil action remedy recognized under the country's or
state's statutory, common or case law.
(10) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's certification application materials, the result of a criminal
background check.
(11) If an
applicant holds or has ever held a license or certificate to practice
psychology in another state, regardless of the type or level of licensure or
certification, the applicant shall cause to be submitted the equivalent of a
Tennessee Certificate of Fitness (verification of license) from the authorizing
regulatory agency which indicates the applicant holds or held an active license
or certificate and whether it is in good standing presently or was at the time
it became inactive.
(12) When
necessary, all required documents shall be translated into English and the
translation and original document certified as to authenticity by the issuing
source. Both versions must be submitted to the Board's administrative
office.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 63-11-104, 63-11-201 and 63-11-207.
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