Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
09/24/2020
Application#
:
707930
Name
:
Rounds, Jeanine Marie
Profession
:
Substance Abuse Counselor-in-Training
Address
:
Appleton, WI
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Wisconsin Statutes and Rules Exam
Met
9/24/20: Pass-las
1/14/20: You may take this exam at any time;
-----
Prior to taking exam, review instructions at:
https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Exams.aspx
When at the ParTest Online you will need the following:
Instructor: gsp
Test Name: SAP18A
Test Password: SAP18A
Student ID: 707930
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PLEASE NOTE: each attempt of this exam cost $75.00. If you receive a failing score you will be required to retake this exam & pay the $75.00 retake fee - jnl
Application Complete
Met
Application Fee
Met
9/17/20: Processed refund for duplicate payment, trn's 16312 & 16637 - TS;
-----
PAID 1/2/20 $160
Education and Training Form including proof of attendance and completion
Met
5/20/20: form 3079 rec'd from FVTC- NR;
-----
3/10/20: rec'd but school did not indicate the Degree / Certificate / Program you completed, print form 3079 at: https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Default.aspx
-----
PLEASE NOTE: school marked BOTH the SAC-IT & the SAC/CSAC requirement & you are applying for the SAC-IT - TMB;
-----
1/14/20: Rec’d from applicant. Must come directly from school. Print form 3079 for your school to complete at: https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Default.aspx
-----
Document can be sent to DSPSCredSubstanceAbuse@Wisconsin.gov - jnl
Employment Verification Form (Form # 2770)
Met
3/10/20: complete - TMB;
-----
1/14/20: Rec'd from applicant. Must come directly from supervisor. Print form 2770 for your supervisor to complete at:
https://dsps.wi.gov/Pages/Professions/SubstanceAbuseCounselorInTraining/Default.aspx
-----
Document can be sent to DSPSCredSubstanceAbuse@Wisconsin.gov - jnl
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