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Miscellaneous LADC Forms
Title
Owner
Category
Last Updated
Size (Kb)
Change of Employer/Supervision Application (For Temporary Permit)
Samantha Strehlo
PDF
8/16/2006
68.87
Download
LADC Name and Address Change Form
Samantha Strehlo
7/21/2010
48.38
Download
Mailing list request form
Samantha Strehlo
PDF
7/19/2010
36.63
Download
Variance Request Form
10/23/2009
184.75
Download
Form to Become an Approved LADC Supervisor
Title
Owner
Category
Last Updated
Size (Kb)
ADC Supervisor Application
Samantha Strehlo
3/23/2010
26.64
Download
Forms for LADC post-degree Prof. Practice prior to 07/01/2005
Title
Owner
Category
Last Updated
Size (Kb)
ADC Supervisor Credential Verification Form
Samantha Strehlo
5/9/2011
37.01
Download
ADC Verification of Supervised Professional Practice
10/19/2005
26.09
Download
Forms for LADC post-degree Prof. Practice on or after 07/01/2005
Title
Owner
Category
Last Updated
Size (Kb)
ADC Supervision Plan
Samantha Strehlo
6/13/2007
22.24
Download
ADC Supervisor Application
Samantha Strehlo
8/1/2007
25.31
Download
ADC Verification of Completion of Supervision Plan
Samantha Strehlo
6/13/2007
23.79
Download
LADC Requirements and Application
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