Creative Arts Therapist Certification Supervised Experience
This file serves as an official documentation for Creative Arts Therapy applicants seeking certification through supervised experience. It includes detailed instructions for completing and submitting the application form. This form also outlines the requirements and information necessary for licensing.
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How do I fill this out?
To fill out this form, start by accurately completing Section I with your personal information. Next, ensure that the supervisor completes Section II and signs the attestation at the end of the form. Finally, send the completed form to the Office of the Professions for processing.

How to fill out the Creative Arts Therapist Certification Supervised Experience?
1
Complete Section I with applicant's information.
2
Have your supervisor complete Section II.
3
Sign and date the form as the applicant.
4
Ensure all information is clear and accurate.
5
Submit the form to the Office of the Professions.
Who needs the Creative Arts Therapist Certification Supervised Experience?
1
Graduates of Creative Arts Therapy programs seeking licensure.
2
Current therapists looking to switch their certification.
3
Institutions requiring documentation for supervised experience.
4
Supervisors responsible for verifying an applicant's experience.
5
Employers needing proof of licensure for hiring Creative Arts Therapists.
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What are the instructions for submitting this form?
To submit this form, ensure that all sections are completed accurately. Email or fax your completed form to the Office of the Professions at the provided contact information. Alternatively, you may mail the physical form to the address listed at the end of the document, ensuring proper postage and handling.
What are the important dates for this form in 2024 and 2025?
For applicants, ensure that all experience is completed by December 31, 2025, to maintain eligibility for the subsequent certification cycle. Additionally, any applications submitted past the deadline may lead to delays in the licensing process.

What is the purpose of this form?
The purpose of this form is to document the supervised experience of individuals applying for licensure as Creative Arts Therapists in New York. It acts as a formal statement of an applicant's practical experience required by the State Education Department. Submitting this form is vital for candidates to obtain their licensing credentials to practice legally.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Information: Contains personal details such as name, birth date, and contact information.
- 2. Supervised Experience: Requires the supervisor to attest to hours worked and skills acquired during training.
- 3. Compliance Statement: The applicant's declaration confirming the truthfulness of the provided information.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or denial of licensure application. Proper documentation is crucial for the licensing process.
- Delay in Licensing: Without submission, applicants may miss certification deadlines.
- Ineligibility for Certification: Incomplete forms can lead to automatic rejection of the application.
- Legal Implications: Practicing without licensure due to submission failure can result in legal consequences.
How do I know when to use this form?

- 1. Post-Education Requirement: To document experience after completing related educational programs.
- 2. Transitioning Careers: For current professionals moving into the Creative Arts Therapy field.
- 3. Employer Verification: To fulfill employer requirements for practicing therapists.
Frequently Asked Questions
What is this form used for?
This form is used for applicants seeking certification in Creative Arts Therapy through verification of supervised experience.
How do I submit this form?
You can submit this form by sending it directly to the Office of the Professions along with any required documentation.
Can I edit this form?
Yes, you can edit this form using the PrintFriendly PDF editor before finalizing your submission.
What information do I need to provide?
You need to provide personal identification details, supervisor's information, and experience dates.
Is there a deadline for submission?
It's essential to submit the form as soon as possible, especially if planning to apply for licensure in a specific timeframe.
Can my supervisor submit this form?
No, the form must be submitted directly by the applicant to maintain authenticity.
Where do I find more information about Creative Arts Therapy licensure?
You can find more information on the New York State Education Department's official website.
What happens if I make a mistake on the form?
If a mistake is made, you should correct it and ensure that your supervisor reviews and signs again if necessary.
How do I know if my application is processed?
After submission, you should receive confirmation from the Office of the Professions about your application status.
Can I save my edited PDF?
Yes, you can download your edited PDF immediately after making changes.
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