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Verification of Supervision. Board of Examiners of Alcoholism and Drug Abuse Counselors. I, hereby attest that I have completed a
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How to fill out verification of supervision

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How to fill out verification of supervision:

01
Obtain the necessary form: First, you need to obtain the verification of supervision form. This form can typically be requested from the respective supervisory authority or regulatory body that oversees the particular field or profession requiring the supervision.
02
Fill in personal information: Start by providing your personal information as required on the form. This may include your full name, contact details, professional license or registration number, and any other relevant identification details.
03
Specify the supervising entity: Clearly indicate the name and contact information of the supervising entity or individual overseeing your supervision. This can include the name of the organization, their address, phone number, and email.
04
Describe the supervision arrangement: In this section, you need to provide a detailed description of your supervision arrangement. Include the specific dates or time period during which the supervision took place, the hours or duration of each session, and the overall number of hours of supervision completed.
05
Detail the nature of the supervision: Explain the nature of the supervision you received. This can include information about the objectives, goals, and areas of focus addressed during the supervision. Describe how the supervision positively impacted your professional growth and development.
06
Include supervisor's information: Provide the necessary details about your supervisor. This can include their name, professional qualifications, license or registration number, and their relationship to you (e.g., mentor, supervisor, trainer). Include their contact information, such as their email address and phone number.
07
Obtain supervisor's signature: Ensure that your supervisor signs and dates the verification of supervision form. This signature confirms the accuracy and authenticity of the provided information.
08
Confirm your own declaration: Sign and date the form to confirm the accuracy of the information you have provided. By signing, you acknowledge that the contents of the form are true and complete to the best of your knowledge and belief.

Who needs verification of supervision?

01
Individuals pursuing a regulated profession: Those who are pursuing a regulated profession, such as licensed counselors, therapists, social workers, or medical professionals, may often need to provide verification of supervision. This requirement serves to ensure that individuals have received adequate supervision and support during their training or professional development.
02
Job applicants in specific fields: Job applicants seeking positions in certain fields, such as education, may be required to submit verification of supervision. This could demonstrate that they have completed a required number of supervised teaching or classroom observation hours as part of their training.
03
Professionals seeking licensure or certification: Professionals seeking to obtain or renew a license or certification may need to provide verification of supervision as part of the application process. This helps regulatory bodies assess an individual's competency, ethical practice, and adherence to professional standards.
04
Those undergoing a disciplinary process: Individuals who are subject to a disciplinary process within their profession may be required to provide verification of supervision as a part of remedial action or to demonstrate ongoing professional growth.
05
Graduates of specific educational programs: Graduates of certain educational programs, particularly those related to healthcare or counseling, may need to provide verification of supervision when applying for state licensure or accreditation.
In summary, filling out the verification of supervision requires providing personal information, specifying the supervising entity, describing the supervision arrangement, detailing the nature of supervision, including supervisor's information and obtaining their signature, as well as signing and dating the form as the applicant. The need for verification of supervision applies to individuals pursuing regulated professions, job applicants in specific fields, professionals seeking licensure or certification, those undergoing a disciplinary process, and graduates of particular educational programs.
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Verification of supervision is a form that confirms an individual's completion of required supervision hours.
Individuals who are seeking licensure or certification in a specific field that requires supervised experience.
The form must be completed by the supervisor who oversaw the individual's supervised experience and signed by both the supervisor and the supervisee.
The purpose is to ensure that individuals have completed the necessary supervised experience to meet licensure or certification requirements.
Information such as the dates of supervised experience, number of hours completed, tasks performed, and supervisor's contact information.
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