Licensure Documentation Request

After submitting your application to the state Board, they will respond back to you with a 5-digit FILE # as well as any pending items that they may require. The FILE # allows the Clinical Education office to send the licensure verification letter(s) to your file with the Board.

If you have any questions about the process, please contact Ms. Gabby Russell at garussell@barry.edu or 305-899-3906.

Enter Your Information

First Name

Middle Name

Last Name

Email

Address Information

Address

City

State

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ZIP Code

Phone

Additional Information

File #

SSN

Name When Graduated

Date of Graduation

Admission Status

Traditional Student

Advanced Standing Student

Undergraduate Institution Name

First Year Field Placement Information

First Year Field Placement

Agency and City

Field Educator

Number of Total Hours

Second Year Field Placement Information

Second Year Field Placement

Agency and City

Field Educator

Number of Total Hours

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Processing Request