Pinetop
Psychologist Applications

Staff are not always able to give time to questions that are answered on the website or in staff's automated reply emails. Please use the Table of Contents below to review information and resources  related to applying for the EPPP and/or licensure in Arizona. 

 

Table of Contents:

 

Psychologist Application for Exam and/or Licensure

Psychologist Application for Exam and/or Licensure

You do not have to live in Arizona to be licensed in Arizona with this application. If you do not qualify for licensure by Universal Recognition or Credential, use this application to apply for licensure as a psychologist. 


High level overview of minimum requirements to qualify for licensure using this application:

  • Hold a doctorate in an applied (health service delivery) psychology (A.R.S. Section 32-2071(A)-(D))
  • 3,000 hours of supervised experience (A.R.S. Section 32-2071(D))
    • a minimum of 1,500 hours of internship; the internship must be an integral part of the doctoral program and credit for it given on the official transcript (A.R.S. Section 32-2071(F))
    • an additional 1,500 hours of supervised experience (any combination of preinternship, internship and/or postdoctoral supervised experiences) (A.R.S. Section 32-2071(E) - (H))
  • Pass the EPPP (Part 1 & Part 2) (A.R.S. Section 32-2072). Part 2 may be waived for applicants who hold a full, unrestricted license in another state or province. 

Use this Application form if you fit into one or more of the following categories:

  • If you have had your doctoral degree in an applied psychology conferred, completed 1,500 hours supervised internship experience, and are seeking approval to take the Examination for Professional Practice in Psychology (EPPP Parts 1 & 2), or
  • If you have completed the above, and in addition, have completed 1,500 hours of pre-internship and/or postdoctoral supervised experience(s), are not licensed in another state or Canadian province, and are seeking approval to take the EPPP (Part 1 and/or Part 2) and obtain Licensure in Arizona, or
  • If you have passed the EPPP (Parts 1 & 2) and are seeking Licensure in Arizona, or
  • If you have passed EPPP Part 1 and are already licensed in another state, you wish to become licensed in Arizona but do not hold a credential recognized by the Arizona Board and do not qualify to be licensed by universal recognition, (see Waiver options on page 4 of the application PDF) or
  • If you have completed 1,500 hours supervised internship experience, had your doctoral degree in an applied psychology conferred, are enrolled in a postdoctoral supervised experience program and are seeking supervised temporary licensure (with or w/out approval to sit for the EPPP).  
  • Please Note:  The supervised temporary license IS NOT an independent license and DOES NOT LEAD to an independent license in Arizona. The supervised temporary license is issued under A.R.S. § 32-2073. The temporary license does not in any way or at any time transfer to an independent license. If in the future you wish to be licensed to practice independently as a psychologist in Arizona, you will need to apply anew, pay the application fee and meet all requirements then in place. 
  • For professional conduct questions in this application, if the answer is "yes", appropriate documentation is required. Please see the PDF "Appropriate Documentation for "Yes" Answers" for a list of the associated documentation or evidence that the applicant must submit to the Board if the applicant’s answer to a professional conduct question is “yes”.
  • Submissions Portal for Psychologists:  If your employer's firewall prevents using the portal, please email the document to [email protected]. Thank you!

Additional Resources:

 

Forms for Psychologist Application for Exam and/or Licensure, Waiver, and for Supervised Temporary Licensure

If you need a form and are unable to extract it from the application packet, please download and use the individual forms below, as applicable. The PDFs are form-fillable. Please use Adobe Acrobat or Adobe Reader for best experience.  Some fields will not be visible in your browser or via another program/app. 

Core Program Requirements form (Pages 12-13 of the application. Needed only if your doctoral program is NOT APA accredited.)

Preinternship/practicumSupervised Preinternship Experience Summary (Needed only if you are applying preinternship hours towards licensure. This is a tool to assist you in completing page 2 of the Supervised Preinternship Experience Verification form, below.)

Preinternship/practicumSupervised Preinternship Experience Verification form  Needed only if you are applying preinternship hours towards licensure. Not needed if you have been licensed in another state for 10 years or more - you may waive the requirement to have additional hours verified. See page 4 of the application packet.  Not needed for temporary license application. Must be submitted by your supervisor or Director of Training directly to the Board's office. 

Preinternship/practicumPreinternship Verification form - Page 2 Needed if you are applying preinternship hours towards licensure and have multiple sites. Complete this page for each individual site. If you have 3 sites, there should be 3 copies of this page in the verification, one for each site. Complete the top section. Your training director needs to complete the bottom section to verify that the information you provided is true and correct according to the training records. 

InternshipSupervised Psychology Internship or Training Experience Verification form  Needed if you are applying via the Psychologist Application for Exam and/or Licensure form and have been licensed less than 20 years. 

PostdocPostdoctoral Professional Psychology Experience Verification  Needed only if you are applying postdoctoral hours towards licensure.  If you have been licensed in another state for 10 years or more, you do not need this form, because you may waive the requirement to have additional hours verified. See page 4 of the application packet. Not needed for temporary license application. Must be submitted by your supervisor directly to the Board's office.

Citizenship Status Form  Also included in the application packets. All applicants are required to complete and submit this form, and provide proof of lawful status in the United States. See the evidence list on page 3 for accepted forms of ID. 

 

 

Psychologist Application for Licensure by Credential

You do not have to live in Arizona to be licensed in Arizona with this application.  

Psychologist Application for Licensure by Credential

  • Issued under A.R.S. § 32-207.01:  Requirements for licensure; remediation; credentials 
     
  • For applicants who hold a credential recognized by the Arizona Board of Psychologist Examiners: 

 

 

Psychologist Application for Licensure by Universal Recognition

On August 27, 2019 the Arizona Board of Psychologist Examiners began accepting applications for licensure by universal recognition.  This application is form-fillable. Please open in Adobe Acrobat or Adobe Reader for best experience and to see the digital signature blocks. Follow all instructions on the first page of the application packet. 

Psychologist Application for Licensure by Universal Recognition

Arizona's universal recognition statute (A.R.S. § 32-4302) allows Arizona residents to use an out-of-state professional or occupational license to qualify for an Arizona license to work. To qualify, an applicant must:

  • Prove that they have established residence in Arizona (See the Board's Substantive Policy Statement regarding this). You MUST establish residence in Arizona and be able to provide evidence of this. If you have not established residence in Arizona, or you answer NO to the statement, "I have established residence in Arizona", you DO NOT QUALIFY to apply for licensure using this application. If you have a recognized credential (ABPP, CPQ or National Register HSP) and have been licensed for 5 or more years in another state, use the Credential application. Otherwise, use the standard app, Psychologist Application for Exam and/or Licensure. 
  • Be currently licensed or certified for at least one year in another U.S. state or territory in the discipline applied for and at the same level of practice as recognized in Arizona. 
  • Be in good standing in all states where currently or previously licensed or certified. Verification is required directly from the licensing board to the AZ Board of Psychologist Examiners for all licenses or certifications ever held regardless of the status of the license or certification. Verifications ordered from other states may be emailed from the respective boards to [email protected]
  • Have met all applicable education, work, exam, and/or clinical supervision requirements in the other state where originally licensed or certified. 
  • Yes Answers for Professional Conduct Questions:  For questions in this application, if the answer is "yes", appropriate documentation is required. Please see the PDF "Appropriate Documentation for "Yes" Answers" for a list of the associated documentation or evidence that the applicant must submit to the Board if the applicant’s answer to the question is “yes”.
  • Submissions Portal for Psychologists
  • How to Pay the Application Fee
  • What you need to know about the application process

 

 

Application for Fee Waiver

Arizona Revised Statutes § 41-1080.01 provides for a waiver of “any fee charged for an initial license for any individual or applicant whose family income does not exceed 200% of the Federal Poverty Guidelines if the individual is applying for that specific license in this state for the first time.” If you believe that you qualify for the waiver, please use the application below and submit with your initial license application.

Application for Fee Waiver

  • Instructions are on the first page of the form. You MUST provide a copy of your most recent tax return with your application for fee waiver.
  • If you are applying for a fee waiver, do not include the application fee with your application. Board staff cannot accept the application fee with the application for fee waiver. Under these circumstances, any checks or money orders will be returned.  Board staff will email you regarding your fee waiver application once review is completed.
  • Submissions Portal for Psychologists

 

How to Pay Application Fees

Staff cannot process credit/debit cards. To pay the application fee by:

  • Credit or Debit Card:  If paying by credit or debit card, please submit the application via the psychologist submissions portal. After your application has been entered into the Board's database, instructions will be sent by email.  Please allow up to 30 days for processing. 
  • Check or Money Order: If paying the application fee by check or money order, please mail your application with your payment to the Arizona Board of Psychologist Examiners. (Please make the check or money order out to the AZ Board of Psychologist Examiners.) It is recommended that a delivery service is used (i.e. FedEx, UPS, DHL, etc.) when sending checks or money orders. The Board is not responsible for lost mail.
  • Drop Off:  Alternatively, you may drop off your application and check/money order at window 6 on the first floor of the office building at 1740 W. Adams Street, Phoenix, AZ 85007.  Window hours are from 8 a.m. to 4 p.m. The staff person at the window is not able to answer any questions regarding applications or licensing. Please note, parking and the front door are on the north side of the building. The ground floor of the parking garage is available to the public. There is also parking on the west side.