21 NCAC 63 .0213             TEMPORARY LICENSES

(a)  Pursuant to G.S. 90B-8(b), any nonresident clinical social worker certified, registered, or licensed in another jurisdiction desiring to obtain a temporary license from the Board shall make application to the Board. Applications not completed within two years of submission to the Board shall be denied. Application forms and instructions may be found on the Board's website at https://www.ncswboard.org. A temporary license shall expire six months following the date of issuance and is not eligible for renewal. No individual shall hold more than one temporary license within a five-year period.

(b)  An applicant pursuant to this Rule shall provide the following information on the application set forth in Paragraph (a) of this Rule:

(1)           the applicant's name, contact information, signature, and date of signature;

(2)           the social security number of the applicant;

(3)           the requested designation of licensure type;

(4)           the applicant's place of employment, the name of the applicant's supervisor, and the license number of the applicant's supervisor, if the supervisor holds a license to practice clinical social work;

(5)           educational history and degree attainment;

(6)           whether the applicant has ever been certified, licensed, or registered to practice social work by the Board, by another occupational board or agency, or in another state/jurisdiction and, if so:

(A)          what credential was held;

(B)          in what state/jurisdiction;

(C)          the issuance date and expiration date; and

(D)          what examinations were taken to obtain said certification, licensure, or registration;

(7)           whether the applicant ever has had a credential denied, limited, reprimanded, suspended, or revoked;

(8)           whether the applicant ever has been convicted of a felony or misdemeanor under any laws;

(9)           whether any criminal charges are pending against the applicant;

(10)         whether any court, board, agency, or professional organization has found the applicant guilty of misconduct, unprofessional conduct, dishonest or fraudulent practice, or incompetent practice;

(11)         whether any charges are pending against the applicant before any court, board, agency, or professional organization for unprofessional conduct, dishonest or fraudulent practice, or incompetent practice;

(12)         the applicant's certification that:

(A)          the applicant has read the North Carolina General Statute 90B Social Worker Certification and Licensure Act, and the Board's rules, ethical guidelines, and disciplinary procedures, which are available on the Board's website at https://www.ncswboard.org, and agrees to comply with them;

(B)          the information provided by the applicant in the application is true;

(C)          the applicant consents to a criminal history record check;

(D)          the applicant's consent for the jurisdiction in which the applicant is licensed to release information to the Board related to the applicant's licensure status and practice of social work;

(E)           the applicant has read and understands the public notice statement on employee misclassification that is set forth in the application and has disclosed any investigations for employee misclassification, and its results, over the preceding 12-month period, as prescribed by G.S. 143-789; and

(13)         an application fee of twenty-five ($25.00) dollars.

(c)  An applicant pursuant to this Rule shall provide a copy of the completed application set forth in Paragraph (b) of this Rule to the occupational board or agency in which the applicant is certified, licensed, or registered to practice social work. The applicant shall request that the occupational board or agency in which the applicant is certified, licensed, or registered to practice social work submit a form to the Board that contains the following:

(1)           confirmation that the applicant's completed application as set forth in Paragraph (b) of this Rule is accurate, if known;

(2)           whether the applicant obtained original licensure from the responding board or agency and, if not, the jurisdiction from which the applicant obtained original licensure;

(3)           whether the responding board or agency has official transcripts, as prescribed in 21 NCAC 63 .0203, in its records for the applicant;

(4)           whether the applicant graduated from an education program that is accredited by the Council on Social Work Education (CSWE), for which accreditation standards are available at www.cswe.org;

(5)           whether the applicant was exempt from the jurisdiction's licensure requirements at the time the applicant received his or her certification, licensure, or registration to practice social work;

(6)           whether the applicant took an ASWB examination to obtain licensure in the responding board or agency's jurisdiction and, if so, which examination;

(7)           whether the applicant's licensure in the responding board or agency's jurisdiction is in good standing and, if not, the reason for which the licensure in not;

(8)           whether the responding board or agency, any state agency, or any professional organization ever has found the applicant guilty of misconduct, unprofessional conduct, dishonest or fraudulent practice, or incompetent practice and, if so, a copy of the documents adjudicating the applicant;

(9)           whether any charges are pending against the applicant before the responding board or agency, any state agency, or any professional organization for unprofessional conduct, dishonest or fraudulent practice, or incompetent practice;

(10)         whether the applicant completed any supervision of clinical practice that was approved by the responding board or agency and, if so:

(A)          the dates of supervision;

(B)          the total number of supervision hours recorded;

(C)          the total number of practice hours recorded; and

(D)          the name and license number of the applicant's supervisor;

(11)         whether the responding agency or board has any additional comments regarding the applicant's fitness to practice clinical social work or licensure status; and

(12)         the name, signature, date of signature, and contact information of the representative completing the information set forth in Paragraph (c) of this Rule, with the responding board or agency's seal affixed.

History Note:        Authority G.S. 90B-6; 90B-6.2; 90B-8;

Temporary Adoption Eff. October 1, 1999;

Eff. July 1, 2000;

Amended Eff. January 1, 2009;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 19, 2015;

Amended Eff. October 1, 2021.