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.)