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201 Kar 38:020. Application


Published: 2015

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      201 KAR 38:020. Application.

 

      RELATES TO: KRS 335.620

      STATUTORY AUTHORITY: KRS 335.615(1)-(4),

(6), 335.620

      NECESSITY, FUNCTION, AND CONFORMITY: KRS

335.615(1) requires the board to approve or deny applications for licensure of a Kentucky licensed

pastoral counselor. KRS 335.620 establishes application requirements for a Kentucky

licensed pastoral counselor. This administrative regulation establishes the

application process for certification.

 

      Section 1. An applicant for licensure shall:

      (1) Meet the requirements of KRS 335.620;

      (2) Pay by check or money order an

initial licensure fee as established by

201 KAR 38:040, Fees, made payable to the Kentucky State Treasurer;

      (3) Pass the written examination titled

"Kentucky Pastoral Counselors Examination" administered and verified

by the Kentucky Board of Licensure for Pastoral Counselors, which may include

the topics set forth in 201 KAR 38:030, Section 3(1) through (4) and submit

documentation of a passing score to the Board.

      (4) File a completed, signed, and dated

Application for Licensure as a Licensure Pastoral Counselor with the board

containing;

      (a) Name;

      (b) Address;

      (c) Home phone;

      (d) Work address;

      (e) Work phone;

      (f) Date of birth;

      (g) Criminal convictions;

      (h) Misconduct in other positions;

      (i) Credentials by other states;

      (j) Membership in professional

organizations;

      (k) Education;

      (l) Experience;

      (m) Clinical supervision that shall be

equally distributed throughout the qualifying period and verification that

meets the following requirements:

      1. At least 120 hours shall be individual

supervision by an approved supervisor; and

      2. An approved supervisor shall be an

individual who:

      a. Holds a diplomate level of

certification from the American Association of Pastoral Counselors;

      b. Holds a fellow level of certification

from the American Association of Pastoral Counselors and is also under

supervision by a diplomat;

      c. Is licensed as a licensed pastoral

counselor in Kentucky with a minimum of four (4) years of experience in the

practice of pastoral counseling; or

      d. Holds licensure or certification in

one (1) of the mental health professions of psychiatry, psychology, social

work, or family therapy with at least five (5) years of clinical experience and

two (2) years of supervisory experience;

      (n) Endorsement by a denomination or

faith group; and

      (o) Affidavit.

 

      Section 2. Incorporation by Reference.

(1) The following material is incorporated by reference:

      (a) Form "Application-2" (June,

1999 edition) Board of Licensure of Licensed Pastoral Counselors.

      (2) This material may be inspected,

copied, or obtained at the Board of Licensure for Pastoral Counselors, 911

Leawood Drive, Frankfort, Kentucky 40601, Monday through Friday, 8 a.m. to 4:30

p.m. (26 Ky.R. 283; Am. 587; eff. 9-15-1999; 29 Ky.R. 1870; eff. 3-19-2003; TAm

eff. 7-17-2014.)