Portland State Application For Verification Of Equivalency(Voe) For School Social Work License

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!
!
APPLICATION)FOR)VERIFICATION)OF)EQUIVALENCY)(VOE)))
FOR)SCHOOL)SOCIAL)WORK)LICENSE)
)
Please)complete)this)application)and)submit,)along)with)supporting)materials,)to)PSU)School)of)Social)Work.))
We)will)review)packet)and,)if)approved,)we)will)provide)the)required)recommendation)form)as)described)on)
the)applicant)checklist.)
)
HAVING'AN'EQUIVALENT'LICENSE'FROM'ANOTHER'STATE'CAN'SERVIE'IN'LIEU'OF'THIS'APPLICATION.'''
MAY'APPLY'DIRECTLY'TO'TSPC.'
)
NAME:)_______________________________________________________________)
)
)
EMAIL:)_______________________________________________________________)
)
Please'explain'how'you'have'met'each'criteria.))You)may)include)any)of)the)following)as)documentation)to)
support)proficiency)in)the)listed)criteria)(please)reference)documents)provided)in)your)explanation):)
)
o Transcript)of)MSW)
o Demonstrated)mastery)in)below)areas)by)a)
! Copy)of)course)syllabus))
letter)vouching)for)this)knowledge)by)a)
! Connecting)subject)with)course)work))
supervisor)or)administrator)
o Documentation)of)receiving)relevant)
o Professional)resume)
coursework)in)continuing)education)
o Other)relevant)documentation)
o )Documentation)of)teaching)relevant)
coursework)
)
Criteria'for'Verification'of'Equivalency'for'the'School'Social'Work'License'
" MSW)degree)from)a)CSWE)accredited)Social)Work)Program)
o Transcript)from)school)
o Name)of)School)
)
(spelled)out)_________________________________
o Name)of)degree)
)
(spelled)out)_________________________________
o Month)and)year)degree)awarded)________________)
)
" Demonstrated)equivalent)knowledge)base:)
o Social)Work)and)Social)Welfare)Policy)
)
)
!
Explain_________________________________________________
)
o Human)Behavior)in)the)Social)Environment)(Micro))
)
)
!
Explain_________________________________________________
)
)
Verification of Equivalency for School Social Work License –Application Last revised 1/26/15

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