1180-04-.03
Procedures For Certification
Cite as Tenn. Comp. R. & Regs. 1180-04-.03
To become certified as a Certified Psychological
Assistant in Tennessee, a person must comply with the following procedures and requirements:
(1)
An application packet shall be requested from the Board’s administrative office or
downloaded from the Department of Health’s website.
(2)
An applicant shall respond truthfully and completely to every question or request for
information contained in the application form. The completed application form and all fees
required by the form and these rules shall be submitted to the Board’s administrative office.
(3)
Applications will be accepted throughout the year.
(4)
An applicant shall submit with the applicant’s application a signed passport-type photograph
taken within the preceding twelve (12) months.
RULES GOVERNING CERTIFIED PSYCHOLOGICAL ASSISTANTS
CHAPTER 1180-04
(5)
An applicant shall submit with the applicant’s application, verification of U.S. citizenship or
legal presence in the U.S. pursuant to T.C.A. § 4-58-103(a)(2).
(6)
It is the applicant’s responsibility to request that the institution(s) of higher education submit
the transcript(s) of all graduate course work directly to the Board office. The transcript(s)
must show the highest degree(s) earned and must carry the official seal of that institution.
(7)
An applicant for certification as a Certified Psychological Assistant must submit completed
worksheets for evaluation of graduate courses indicating the applicant’s allocation of course
credit to substantive psychology course work and to course work completed in psychological
testing and measurement. The applicant must send copies of the course descriptions from
the graduate catalog current at the time of his or her enrollment.
(8)
An applicant must comply with T.C.A. § 63-11-207(b)(2)(A), and provide evidence of ethical
practice as follows:
(a)
Such evidence shall be a minimum of three (3) letters of recommendation in addition to
the practicum documentation.
(b)
It is the applicant’s responsibility to request letters of recommendation from individuals
who have personal knowledge of, and can attest to, the applicant’s education, training,
and performance at the specific level of certification for which the applicant is applying.
(c)
All letters of recommendation must contain a statement specifying that certification as a
Certified Psychological Assistant for the applicant is being recommended.
(d)
All letters shall be original letters dated within the last twelve (12) months, written
specifically for the certification application, and sent directly to the Board by the person
providing the information on the signatory’s letterhead.
(e)
One (1) of the required three (3) letters must be from a licensed Psychologist with HSP
designation, or if the endorser is from another jurisdiction, HSP equivalent licensed
Psychologist. The other letters may be from licensed Psychologists or licensed Senior
Psychological Examiners.
(f)
Letter(s) from the practicum supervisor(s) shall be submitted. The letter(s) shall provide
specific information about the types of clients and range of services provided as well as
the nature of the internship or practicum site. An overall evaluation of the quality of
services provided by the trainee must be included.
(g)
If the applicant has received a Masters Degree in psychology and is a student in good
standing in a doctoral degree from an APA approved or CNRHSPP/ASPPB designated
training program in professional psychology, a letter of recommendation from the
Director of Training of that doctoral degree program must be provided.
(9)
An applicant shall disclose the circumstances surrounding any of the following:
(a)
Conviction of any criminal law violation of any country, state or municipality, except
minor traffic violations.
(b)
The denial of licensure or certification by any other state or the discipline of licensure or
certification by any state.
(c)
Loss or restriction of licensure or certification.
RULES GOVERNING CERTIFIED PSYCHOLOGICAL ASSISTANTS
CHAPTER 1180-04
(d)
Any civil suit judgment or civil suit settlement in which the applicant was a party
defendant including, without limitation, actions involving malpractice, breach of
contract, antitrust activity, or any other civil action remedy recognized under the
country’s or state’s statutory, common or case law.
(10) An applicant shall cause to be submitted to the Board’s administrative office directly from the
vendor identified in the Board’s certification application materials, the result of a criminal
background check.
(11) If an applicant holds or has ever held a license or certificate to practice psychology in another
state, regardless of the type or level of licensure or certification, the applicant shall cause to
be submitted the equivalent of a Tennessee Certificate of Fitness (verification of license) from
the authorizing regulatory agency which indicates the applicant holds or held an active
license or certificate and whether it is in good standing presently or was at the time it became
inactive.
(12) When necessary, all required documents shall be translated into English and the translation
and original document certified as to authenticity by the issuing source. Both versions must
be submitted to the Board’s administrative office.