Miscellaneous LADC Forms

 TitleOwnerCategoryLast UpdatedSize (Kb) 
Change of Employer/Supervision Application (For Temporary Permit) Samantha StrehloPDF8/16/2006 68.87 Download
LADC Name and Address Change Form Samantha Strehlo 7/21/2010 48.38 Download
Mailing list request form Samantha StrehloPDF7/19/2010 36.63 Download
Variance Request Form   10/23/2009 184.75 Download

      

 Form to Become an Approved LADC Supervisor

 TitleOwnerCategoryLast UpdatedSize (Kb) 
ADC Supervisor Application Samantha Strehlo 3/23/2010 26.64 Download

      

 Forms for LADC post-degree Prof. Practice prior to 07/01/2005

 TitleOwnerCategoryLast UpdatedSize (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

 TitleOwnerCategoryLast UpdatedSize (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

      


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