Predetermination
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
Fee Reduction
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Per
Wis. Stat. § 440.08 (2), the required renewal date for the Private Practice School Psychologist credential is 09/30/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.
Requirements
Complete steps required for a regular license as a school psychologist issued by the Wisconsin Department of Public Instruction. Hold a regular license as a school psychologist issued by the
Wisconsin Department of Public Instruction.
- Have completed a program for the preparation of school psychologists resulting in a doctor of philosophy, doctor of psychology, doctor of education or education specialist degree, or consisting of a minimum of 60 graduate semester credits resulting in a master's degree in psychology.
Submit written verification from the supervising psychologist or a school official or administrator that the applicant has successfully completed one year of experience or internship in school psychology under the supervision of a school psychologist licensed by the Wisconsin Department of Public Instruction.
Board review of application, determination of eligibility to sit for exam , National Teachers Examination (NTE) Specialty Area Test for School Psychologist
To be approved for the ethics exam and oral interview, your application file must be complete with all supporting documents 30 days prior to the board meeting date in order for the file to be reviewed by the board on that date. If the board approves your file, you would sit for the ethics exam and appear for the oral interview on the meeting date subsequent to the meeting date that your file was approved.
Application for Licensure
| Form | Description |
|---|
|
637
| Application For the Private Practice of School Psychology |
| 3217 | Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #637.) |
|
1899 | Experience Verification |
|
638 | Nature of Private Practice of School Psychology |
|
2829
| Malpractice Suits or Claims Form (if applicable) |
|
3085 | Application for Predetermination |
|
2252
| Convictions and Pending Charges |
|
3071 | Fax Payment Form |