Are you licensed by the Maryland State Board of Professional Counselors and Therapists under the licensing requirements for Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Alcohol and Drug Counselor (LCADC)?
Yes
No
2.
Do you currently hold Board Approved Supervisor status as a Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Alcohol and Drug Counselor (LCADC) with the Maryland State Board of Professional Counselors and Therapists?
Yes
No
3.
Do you have three years of professional experience delivering/providing behavioral health services? If yes, describe your experience. Include employer, duties and dates of employment. If no experience, indicate N/A.
4,
Do you have two years of experience providing behavioral health services to adolescents with mental health and/or substance abuse disorders, preferably in the Juvenile Justice system. If yes, describe your experience. Include employer, duties and dates of employment. If no experience, indicate N/A.
5.
Do you have two years of experience providing clinical and/or administrative supervision to behavioral health clinicians? If yes, describe your experience. Include employer, duties, dates of employment and number of hours worked per week. If no experience, indicate N/A.
Department of Budget and Management