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SOCIAL WORKER, LICENSED
NOTE: PRINT USING BLACK INK ON WHITE PAPER.
COMPLETE THE APPLICATION AND MAIL ALL PAGES
PARTIAL APPLICATIONS WILL NOT BE PROCESSED
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Social Worker - Acceptance of Examination
THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Elder & Child Abuse Notice
. Reference Sheet
. Guidelines-Social Work Examining and Disciplinary Board
. Application for Licensure and/or Examination
. CT Certification of Licensure
. Ed Certification of Education
. VE-SW Verification of Employment/Experience
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Social Worker - Licensure by Endorsement
THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Elder & Child Abuse Notice
. Reference Sheet
. Guidelines-Social Work Examining and Disciplinary Board
. Application for Licensure and/or Examination
. CT Certification of Licensure
. ED Certification of Education
. VE-SW Verification of Employment/Experience
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Clinical Social Worker - Acceptance of Examination
THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Elder & Child Abuse Notice
. Reference Sheet
. Guidelines-Social Work Examining and Disciplinary Board
. Application for Licensure and/or Examination
. CT Certification of Licensure
. ED Certification of Education
. VE-SW Verification of Employment/Experience
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Clinical Social Worker - Licensure by Endorsement
THIS PACKET INCLUDES:
. Instruction Sheet
. Licensure Methods and Definitions
. Elder & Child Abuse Notice
. Reference Sheet
. Guidelines-Social Work Examining and Disciplinary Board
. Application for Licensure and/or Examination
. CT Certification of Licensure
. ED Certification of Education
. VE-SW Verification of Employment/Experience
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Restoration
Forms must be obtained from the Department of Professional Regulation
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