TX HHS Form 3248. Chemical Dependency Counselor Intern Registration Application

The TX HHS Form 3248, "Chemical Dependency Counselor Intern Registration Application," is a crucial document for individuals seeking to register as chemical dependency counselor interns in the state of Texas. This form helps solve the problem of providing required information and fees for intern registration, allowing applicants to demonstrate their eligibility for licensure.

This application consists of several key sections, including Personal Information, Education Information, and Initial Intern Registration Fee. The applicant must provide their social security number, date of birth, sex, highest level of education completed, school name, degree award date, and major/minor (if applicable). Additionally, the form requires a statement of understanding, where the applicant acknowledges various requirements for licensure, including obtaining an associate's or more advanced degree, successfully completing the licensure examination, and completing supervised work experience.

The TX HHS Form 3248 should be used by individuals seeking to register as chemical dependency counselor interns in Texas. The form is designed for both initial registration and subsequent registrations for extension of intern registration. It is essential to review the checklist provided with the form to ensure that all required documents are attached, including copies of education records and background investigation information.