PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Psychologist Form 5A
for the current year.
Psychologist Form 5A Application for Limited Permit for Persons Gaining Experience for Licensure - New York
What Is Psychologist Form 5A?
This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 5A?
A: Form 5A is an application for a limited permit for persons gaining experience for licensure in New York.
Q: Who can use Form 5A?
A: Form 5A is used by psychologists who are gaining experience for licensure in New York and need a limited permit.
Q: What is a limited permit?
A: A limited permit allows psychologists to practice under supervision while gaining the necessary experience for licensure.
Q: What is the purpose of Form 5A?
A: The purpose of Form 5A is to apply for a limited permit for psychologists gaining experience for licensure.
Q: What information is required on Form 5A?
A: Form 5A requires information about your education, training, experience, supervision, and personal history.
Q: How long does it take to process Form 5A?
A: The processing time for Form 5A may vary. It is recommended to submit the form well in advance of the desired start date for the limited permit.
Q: Can I practice independently with a limited permit?
A: No, psychologists with a limited permit must practice under supervision as outlined in the permit.
Q: What happens after I submit Form 5A?
A: After submitting Form 5A, it will be reviewed by the New York State Education Department. If approved, you will receive your limited permit.
Form Details:
- Released on September 1, 2020;
- The latest edition provided by the New York State Education Department;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Psychologist Form 5A by clicking the link below or browse more documents and templates provided by the New York State Education Department.
Download Psychologist Form 5A Application for Limited Permit for Persons Gaining Experience for Licensure - New York
1
2
