CA Board of Psychology Agreement for Supervised Professional Experience 2014 free printable template
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WWW.psychology.ca.gov. P (916) 574-7720 / F (916) 574-8672. 1625 N. Market Blvd. N-215, Sacramento, CA 95834.
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How to fill out CA Board of Psychology Agreement for Supervised Professional
How to fill out CA Board of Psychology Agreement for Supervised Professional Experience
01
Obtain the CA Board of Psychology Agreement for Supervised Professional Experience form from the official website.
02
Carefully read the instructions provided with the form to understand the requirements.
03
Complete the applicant section by providing personal information such as name, contact details, and educational background.
04
Fill out the supervisor section with the supervisor's details, including their license information and qualifications.
05
Clearly outline the specifics of the supervised experience, such as the number of hours, type of work performed, and the setting of the experience.
06
Ensure to provide clear start and end dates for the supervision period.
07
Sign and date the agreement in the designated spaces.
08
Submit the completed form along with any required documentation to the CA Board of Psychology.
Who needs CA Board of Psychology Agreement for Supervised Professional Experience?
01
Individuals pursuing licensure as psychologists in California who are completing required supervised professional experience.
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People Also Ask about
What is Section 1387.2 of the CCR?
(i) Delegated supervisors shall not supervise a trainee who is now or has ever been a psychotherapy client of the supervisor. (j) Delegated supervisors shall not exploit trainees or engage in sexual relationships, or any other sexual contact with trainees.
What should be included in a supervision agreement?
You should also think about your personal learning style, and what works best for you. How frequent will your supervision be? Where will the supervision take place? Who will be supervising you? How will feedback be provided and what are the terms of confidentiality?
What are the requirements for supervision in California Board of Psychology?
THE PRIMARY SUPERVISOR: Must be a licensed psychologist. Shall possess and maintain a valid, active license free of any formal disciplinary action, and will notify the trainee of any disciplinary action that affects his or her ability or qualifications to supervise.
What counts as supervised professional experience in California?
SPE shall include only the time spent by the trainee engaged in psychological activities that directly serve to prepare the trainee for the independent practice of psychology once licensed. SPE shall not include custodial tasks such as filing, transcribing or other clerical duties.
What is the purpose of supervision agreement?
The terms 'supervision contract' or 'supervision agreement' can be used interchangeably to describe the written document which sets out the content of the discussions that have taken place to establish how the supervisor and supervisee will work together.
What is a supervision agreement?
The supervision agreement is the written document that determines how the participants will work together to achieve mutually-set goals. A supervision agreement should include: the purpose and goals of supervision. roles and responsibilities. frequency and duration of supervision sessions.
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What is CA Board of Psychology Agreement for Supervised Professional Experience?
The CA Board of Psychology Agreement for Supervised Professional Experience is a formal document that outlines the terms and conditions under which a graduate psychology trainee engages in supervised professional practice as part of their licensure requirements.
Who is required to file CA Board of Psychology Agreement for Supervised Professional Experience?
Individuals seeking licensure as a psychologist in California who are completing their supervised professional experience are required to file this agreement.
How to fill out CA Board of Psychology Agreement for Supervised Professional Experience?
To fill out the CA Board of Psychology Agreement, individuals should provide their personal information, details about their training site, the supervising psychologist's information, and the specifics of their supervised experience, including hours worked and types of activities performed.
What is the purpose of CA Board of Psychology Agreement for Supervised Professional Experience?
The purpose of the CA Board of Psychology Agreement for Supervised Professional Experience is to ensure that the supervision of psychology trainees meets state standards and provides a structured environment for the development of professional skills before licensure.
What information must be reported on CA Board of Psychology Agreement for Supervised Professional Experience?
The information required includes the trainee's personal details, the name and license number of the supervising psychologist, the training site, dates of experience, total hours of supervision and client contact, and a description of the activities performed during the experience.
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