Cabinet Secretary
Matt Althoff

Applications

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. This is an Adobe PDF application. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate fees.

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. This is an Adobe PDF application. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate fee.
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. This is an Adobe PDF application.. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate fees.
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. This is an Adobe PDF application. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate fees.
Application to Renew Plan of Supervision
Attachment 1: Application for Proposed Supervisor for Plan of Supervision
Attachment 1 is to be completed and submitted by the proposed Supervisor for a Plan of Supervision.

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 license 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. This is an Adobe PDF application. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate fees.
Attachment A: Supervised Experience with Board Approved Supervisor
To be completed and submitted by the Supervisor for applicants seeking LPC, LMFT or LPC-MH licensure.

Application for Approved Supervisor Status
This is an application for South Dakota licensees seeking Board Approved Supervisor Status. This is an Adobe PDF application. Please complete the application using the fillable form, print, notarize and mail to the Board along with the appropriate documentation.

Application for Inactive License
This is an application to inactivate your counseling license.

Application to Reactivate an Inactive License
This is an application to reactivate an inactive counseling license.