***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***
1.
Do you possess a Licensed Clinical Professional Counselor (LCPC) license from the Maryland Board of Professional Counselors and Therapists? If yes, please provide the license number and expiration date in the box below. A copy of your current license or license verification should also accompany your application.