Prevention Specialist In Training

Pursuant to 2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record.  To apply for a predetermination, please fill out Form #3085 and submit all required documentation specified on the form.  Pursuant to Wis. Stat. § 111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.


License Information

Per Wis. Stat. § 440.08 (2), the required renewal date for the Prevention Specialist In Training credential is 02/28/odd years.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.

Pursuant to 2017 Wisconsin Act 262, as of May 1, 2018, the requirements to obtain a Prevention Specialist in-training credential have changed.


Pre-Credential Education

Must complete 40 hours of approved education, including five (5) hours specific to ethics in the following content areas:

  • Planning and evaluation
  • Prevention education and service delivery
  • Communication
  • Community organization
  • Public policy and environmental change
  • Professional growth and responsibility 

Application for Licensure

FormDescription
2745Application for Prevention Specialist In Training
2781​Education and Training Form
2829

Malpractice Suits or Claims Form (if applicable)
​3085​Application for Predetermination
2252​Convictions and Pending Charges
3071

​Fax Payment Form

Renewal Information

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding the completion of Continuing Education in Chapter SPS 165.01, included in on-line renewal and paper form - see Continuing Education Information for details)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

Renewal Methods

  • Online Log In: License Renewal Online
  • Request a Paper Renewal Form: (888) 506‑4239 or (608) 261‑4460 for the Madison area
FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.