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Applications

Application for Approved Supervisor Status
This is an application for South Dakota licensees seeking Board Approved Supervisor Status.

Application for Licensure
This is an application for applicants who have completed a Plan of Supervision and are now applying for licensure.  Applicants will indicate on page 1 which licensure they are applying for—Licensed Professional Counselor, Licensed Professional Counselor-Mental Health or Licensed Marriage and Family Therapist.  A current Plan of Supervision number is required on page 1.

Application for Licensure by Endorsement
This is an application for out-of-state applicants who are currently licensed to practice counseling in another state or territory of the United States and are seeking licensure in South Dakota and meet requirements set forth by SDCL 36-32-67 and 36-33-45.

Application for Licensure by Endorsement - Temporary
This is an application for a 90-day, temporary license for applicants who are licensed out-of-state but have not yet taken the national examination required for licensure in South Dakota. SDCL 36-32-68 and SDCL 36-33-46.

Application for Plan of Supervision - Marriage & Family Therapist
This is an application that must be completed by an applicant seeking a Plan of Supervision as a Marriage & Family Therapist.

Application for Plan of Supervision - Professional Counselor
This is an application that must be completed by an applicant seeking a Plan of Supervision as a Professional Counselor.

Application for Plan of Supervision - Professional Counselor - Mental Health
This is an application that must be completed by an applicant seeking a Plan of Supervision as a Professional Counselor - Mental Health. Must be a Licensed Professional Counselor (LPC) in order to apply for a Plan of Supervision - Professional Counselor - Mental Health.

Application for Proposed Supervisor for Plan of Supervision - Attachment 1
Attachment 1 is to be completed and submitted by the proposed Supervisor for a Plan of Supervision.

Attachment A: Licensed Marriage & Family Therapist (LMFT)
To be completed and submitted by the Supervisor for applicants seeking LMFT licensure.

Attachment A: Licensed Professional Counselor (LPC)
To be completed and submitted by the Supervisor for applicants seeking LPC licensure.

Attachment A: Licensed Professional Counselor - Mental Health (LPC - MH)
To be completed and submitted by the Supervisor for applicants seeking LPC - MH licensure.