Please see below a list of documents that you will be asked to upload during the completion of your MA PGS certificate online application form:
First-time applicants
- Resume (PDF) demonstrating clinical experience.
- 30 CE credits of M-TAC and/or PBU gambling specific courses, which may include live or on-demand courses.
- Supervision Requirement
- A letter from your supervisor stating that you receive regular clinical supervision and that problem gambling issues will be discussed as they arise with clients. If you are not currently receiving clinical supervision on problem gambling treatment, you still need to submit a letter stating that you receive supervision on other addiction cases.
- The letter must contain:
- A description of the applicant’s direct contact with supervision regarding gambling disorder and/or addiction cases. (Group or individual supervision is allowed, but time spent in staff meetings or administrative meetings is not.)
- A description of the supervised work position and work setting/program during the clinical supervision.
- The supervisor’s signature and/or sign-off on the supervision.
- The supervisor’s professional qualifications
- The letter must contain:
- For Clinical Supervisors and/or Independent Practitioners in a private practice: a letter from your place of employment certifying your position or a copy of your independent license showing you are in good standing.
- A letter from your supervisor stating that you receive regular clinical supervision and that problem gambling issues will be discussed as they arise with clients. If you are not currently receiving clinical supervision on problem gambling treatment, you still need to submit a letter stating that you receive supervision on other addiction cases.
- If you currently maintain professional liability insurance, please have a copy of your liability insurance ready to be uploaded with your application form.
Renewal & Lapsed Renewal
- 15 CE credits of M-TAC and/or PBU gambling specific courses, which may include live or on-demand courses.
- Supervision Requirement
- A letter from your supervisor stating that you receive regular clinical supervision and that problem gambling issues will be discussed as they arise with clients. If you are not currently receiving clinical supervision on problem gambling treatment, you still need to submit a letter stating that you receive supervision on other addiction cases.
- The letter must contain:
- A description of the applicant’s direct contact with supervision regarding gambling disorder and/or addiction cases. (Group or individual supervision is allowed, but time spent in staff meetings or administrative meetings is not.)
- A description of the supervised work position and work setting/program during the clinical supervision.
- The supervisor’s signature and/or sign-off on the supervision.
- The supervisor’s professional qualifications
- The letter must contain:
- For Clinical Supervisors and/or Independent Practitioners in a private practice: a letter from your place of employment certifying your position or a copy of your independent license showing you are in good standing.
- A letter from your supervisor stating that you receive regular clinical supervision and that problem gambling issues will be discussed as they arise with clients. If you are not currently receiving clinical supervision on problem gambling treatment, you still need to submit a letter stating that you receive supervision on other addiction cases.
- If you currently maintain professional liability insurance, please have a copy of your liability insurance ready to be uploaded with your application form.