Licensure Forms

If you require licensure forms or letters from the program please fill out the form below.

Please note that standard requests can take up to two to four weeks for processing.

If you need letters give as much information as possible.

Current name and name during the program if applicable.
Please include as many details as possible
Include all information and be as detailed as possible. If you require a letter in reference to internship please specify: internship site, what you did, who was your internship supervisor, who was your on campus supervisor and any other information that is necessary to include in letter.
Ensure all documentation is filled out as much as possible
One file only.
256 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.