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SUPERVISION AGREEMENT FORM Supervised s Name License Type License # Street Address City State Zip Check the one that applies: ? ? ? Initial employment: (Date) ? Change of supervisor(s) (Date) Renewal
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How to fill out supervision agreement form

How to fill out a supervision agreement form:
01
First, carefully read through the entire form to familiarize yourself with the sections and requirements.
02
Fill in your personal information such as your name, contact information, and any relevant credentials or qualifications.
03
If applicable, provide details about the organization or institution you are affiliated with, including its name, address, and contact information.
04
Next, indicate the purpose of the supervision agreement, whether it is for professional development, licensing requirements, academic purposes, or other reasons.
05
Specify the duration of the supervision period, including the start and end dates, as well as the frequency and duration of the sessions.
06
Include any specific goals or objectives you are seeking to achieve through the supervision process. This can include skill development, knowledge enhancement, or meeting specific competencies.
07
Indicate the mutually agreed-upon method of supervision, whether it will be conducted in person, via video conferencing, phone calls, or a combination of methods.
08
Outline the roles and responsibilities of both the supervisor and the supervisee. This may include expectations for preparation, punctuality, confidentiality, feedback, and documentation.
09
If there are any fees associated with the supervision agreement, clearly outline the payment terms and schedule.
10
Finally, both parties should sign and date the supervision agreement to indicate their understanding and acceptance of the terms and conditions.
Who needs supervision agreement form:
01
Professionals seeking licensure: Individuals who are working towards obtaining a professional license, such as psychologists, therapists, counselors, or social workers, may need to complete a supervision agreement form as part of their licensing requirements.
02
Students or trainees: Those who are completing internships, practicums, or supervised field experiences as part of their academic programs may be required to fill out a supervision agreement form.
03
Employees undergoing professional development: Some organizations provide supervision as a means of supporting employee growth and development. In such cases, employees may need to complete a supervision agreement form to outline the terms and expectations of the supervision process.
04
Individuals seeking mentorship: Those who are seeking guidance, support, or mentorship in their professional endeavors may opt to enter into a supervision agreement with a more experienced professional.
It is important to note that the specific individuals who require a supervision agreement form may vary depending on the industry, organization, or licensing board regulations. It is advisable to verify the requirements relevant to your specific situation.
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What is supervision agreement form?
The supervision agreement form is a document that outlines the terms and conditions of supervision between a supervisee and a supervisor.
Who is required to file supervision agreement form?
The supervisee is required to file the supervision agreement form.
How to fill out supervision agreement form?
The supervision agreement form can be filled out by providing the required information such as names of the supervisee and supervisor, dates of supervision, and the terms of the agreement.
What is the purpose of supervision agreement form?
The purpose of the supervision agreement form is to ensure that both the supervisee and supervisor are clear on the expectations and responsibilities of the supervisory relationship.
What information must be reported on supervision agreement form?
The supervision agreement form must include details such as names of the supervisee and supervisor, dates of supervision, and the terms of the agreement.
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