Form 4B Certification of Supervised Experience Form - New York

Form 4B Certification of Supervised Experience Form - New York

What Is Form 4B?

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 the Form 4B Certification of Supervised Experience Form?
A: The Form 4B Certification of Supervised Experience Form is a document used in New York to certify the supervised experience of applicants for licensure or certification.

Q: Who needs to complete the Form 4B?
A: Applicants for licensure or certification in New York who have gained supervised experience must complete the Form 4B.

Q: What is the purpose of the Form 4B?
A: The purpose of the Form 4B is to verify and document the supervised experience gained by applicants for licensure or certification in New York.

Q: What information is required on the Form 4B?
A: The Form 4B requires information about the supervising professional, the applicant's experience, and a summary of the experience gained.

Q: Are there any fees associated with the Form 4B?
A: There are no fees associated with the submission of the Form 4B.

Q: Who can sign the Form 4B?
A: The Form 4B must be signed by the applicant and the supervising professional who provided the supervised experience.

Q: What happens after submitting the Form 4B?
A: After submitting the Form 4B, it will be reviewed by the licensing or certifying authority to verify the supervised experience.

Q: Is the Form 4B required for all professions in New York?
A: No, the Form 4B is only required for certain professions that require supervised experience for licensure or certification.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2015;
  • 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 printable version of Form 4B by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Form 4B Certification of Supervised Experience Form - New York

4.7 of 5 (38 votes)
  • Form 4B Certification of Supervised Experience Form - New York

    1

  • Form 4B Certification of Supervised Experience Form - New York, Page 2

    2

  • Form 4B Certification of Supervised Experience Form - New York, Page 1
  • Form 4B Certification of Supervised Experience Form - New York, Page 2
Prev 1 2 Next
ADVERTISEMENT