Application

A person may not engage in social work practice in this state unless that person is a licensed baccalaureate social worker, a licensed master social worker, or a licensed clinical social worker. Requests for application forms must be made with the board's office. Applications for initial licensure, except licensure of applicants licensed in another jurisdiction, must include: 1. A completed, signed application form. 2. An official transcript showing proof of required degree submitted to the board's office by the academic institution from which the degree was earned. 3. Proof of successful completion of the appropriate examination submitted to the board's office by the administrating body of the examination. 4. For applicants for licensed clinical social worker, a completed verification of a doctorate or a master's degree in social work and have successfully completed supervised practice form and verification of social work employment form. 5. A minimum of three written references providing evidence of the applicant meeting the requirements for professional conduct and competence required under the licensing act. a. Applicants never having worked as a social worker must submit one reference from a social work faculty member, one reference from a field placement supervisor, and one reference from a licensed social worker. b. All other applicants must submit three references - two from social workers at the applicant's proposed level of licensure or higher, and one from a work supervisor. All providers of references must be familiar with the applicant's work. c. In appropriate circumstances, the board may waive or change the requirements for references. 6. Completion of a nationwide criminal history record check must be conducted in the manner provided in North Dakota Century Code section 12-60-24. All costs associated with obtaining a background check are the responsibility of the applicant. 7. Completion of child abuse and neglect background inquiry. All costs associated with obtaining the reports are the responsibility of the applicant or licensee. 8. The proper fees. It is the applicant's responsibility to distribute the forms to the appropriate individuals.