For EACH employer/position, include the following information: (a) the name of the employer, the starting and ending dates (month and year), the number of hours worked per week, your official position title, and your supervisors name and official job title;
(b) identify whether the employer was a government facility or university, hospital or clinic, school, proprietary or non-profit organization, self employment, or other (explain);
(c) describe the primary function of your position and provide a detailed description of your major duties & responsibilities, and the average number of hours per week spent solely on performing the specific duties; and,
(d) provide a detailed description of your psycho diagnostic and psychotherapeutic experiences as described above.
Temporary Assignment: Claims of Temporary Assignment (TA) experience to meet the minimum qualification requirements must be verified and attached to the application using one of the options below:
A copy of the applicant's TA History Report or equivalent system-generated report;
A signed letter from the applicant's supervisor that includes the applicant's name, his/her TA job title, the TA start and end dates (from mm/yy to mm/yy), his/her specific TA duties performed, and either the TA hours worked per week or total TA hours worked; or,
Copies of the applicant's signed SF-10 Forms.