• Complete all sections of the application and sign and initial where required with original signature and initials (preferably in blue ink).
• Submit a check for $424 payable to the Board of Psychology (Board)
• Mail completed application and check to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

OFFICIAL TRANSCRIPT(S)

• Official transcript(s) for the qualifying degree must be sent directly by the institution to the Board either by mail or email to boplicensing@dca.ca.gov.
• Transcripts must reflect the degree conferred or awarded date.
• If the application is based on admission to candidacy for a doctoral degree, in addition to official transcripts, request that the registrar or dean of the institution submit directly to the Board a letter certifying that:

1)  You have been admitted to candidacy on (date) for a doctorate degree in psychology or educational psychology with the field of specialization in psychology or counseling psychology;
2) You have satisfactorily completed three or more years of post-graduate education in psychology, and;
3) You have successfully passed preliminary doctoral examinations.

FINGERPRINTS

• Complete the Board's Request for Live Scan Services and take it to a Live Scan site to submit fingerprints to Department of Justice (DOJ) and Federal Bureau of Investigation (FBI) for criminal history background check.
• After submission of your fingerprints through Live Scan, submit a copy of the Request for Live Scan Services to the Board.

SUPERVISION AGREEMENT

• If you intend to accrue supervised professional experience towards licensure, complete and sign with an original signature (preferably in blue ink), a supervision agreement including a detailed description of the supervision plan to be submitted with your application.
• Mail the supervision agreement to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

ADDING ADDITIONAL PRIMARY SUPERVISOR(S)

• If you will be supervised by more than one primary supervisor, complete all sections of the Notification to Add or Change Supervisor or Service Location for a Psychological Associate [PSB 101] with the additional primary supervisor, and sign and initial with original signature and initials(preferably in blue ink) with a $210 check to the Board. You must submit a separate notification with fee for each add/change supervisor. There is no fee to remove primary supervisors.
• If you intend to accrue hours for supervised professional experience towards licensure with the additional primary supervisor, complete and sign a supervision agreement including a detailed description of the supervision plan to be submitted with your application.
• Mail completed notification and supervision agreement to:

Board of Psychology
1625 North Market Blvd., Suite N-215
Sacramento, CA 95834

• The Board will send an email acknowledging the date the application was received.
• A licensing analyst will review the application and supporting documentation and send an email outlining deficiencies, if any.

WITHDRAWAL

• An application that is not completed within ninety (90) days after additional information is requested will be withdrawn.

DENIAL

• The Board will contact you via email or certified mail if an application is denied because the registration requirements are not met.

APPROVAL

• The Board will contact you via email when your psychological associate registration is approved.