645—240.7(154B) Requirements for provisional license.
	240.7(1) Predoctoral internship. An applicant for a provisional license for purposes of completing a predoctoral internship shall provide the following:
	a. 	Submit a completed provisional application for licensure and pay the nonrefundable licensure fee specified in rule 645—5.16(147,154B).
	b. 	A copy of the applicant’s acceptance letter for the predoctoral internship.
	c. 	Identification of the training director and the training director’s contact information.
	d. 	Evidence that the applicant is enrolled in an educational program that meets the requirements of rule 645—240.3(154B).
	240.7(2) Postdoctoral residency.  An applicant for a provisional license for purposes of completing a postdoctoral residency shall provide the following:
	a. 	Submit a completed application for licensure and pay the nonrefundable licensure fee specified in rule 645—5.16(147,154B).
	b. 	Official copies of academic transcripts sent directly from the school establishing that the requirements stated in rule 645—240.3(154B) are met.
	c. 	A completed supervision plan on the prescribed board form, signed by the applicant’s supervisors. A change in supervisor or in the supervision plan requires submission of a new supervision plan on the prescribed board form.
	240.7(3) Duration. The provisional license is effective for two years from the date of issuance. A provisional license issued for purposes of completing a predoctoral internship can be used for purposes of completing a postdoctoral residency until the provisional license expires. The provisional licensee shall submit a completed supervision plan on the prescribed board form, signed by the licensee’s supervisors, prior to beginning the postdoctoral residency. A change in supervisor or in the supervision plan requires submission of a new supervision plan on the prescribed board form. A provisional license may be renewed one time for a period of two years upon submission of the following:
	a. 	A provisional license renewal application;
	b. 	A provisional license renewal fee; and
	c. 	A current supervision plan as required in these rules.
[ARC 7821C, IAB 4/17/24, effective 5/22/24]