Full Name:  Josipa Katinic
Title/Position: Owner
Email: [email protected]
Work Phone Number: 7788384581
Work Address Line 1: 16705 78 Ave
Country: Canada
Province: British Columbia
City: Surrey
Postal/Zip Code: Surrey
Professional Association/Affiliation: Counsellor
Name of Professional Association & Regulatory Body: BCACC, CCC
Code of Ethics:
Professional Standing: To the best of my knowledge, I am registered or licensed to engage in independent counselling practice (i.e., cannot be Qualifying status or Provisional status).

 

Clinical Supervision Information

Highest Degree in Clinical Counselling/Psychology/Social Work (must have minimum of a master’s degree): Masters
Year Obtained: 2020
Years of Clinical Counselling Experience: 1
Do you have one full year of clinically-supervised experience in post degree?:  No
Years of Experience in Providing Clinical Supervision: 0
Applicable Training in Supervision: 0
What supervisory role will you play in this practicum?: Onsite Supervisor
Full Name:
Title/Position:
Email:
Work Phone Number:
Will you be supervising more than one Yorkville University student concurrently?: Yes

 

Supervisor Agreement

I acknowledge that I am not the Practicum Student’s direct Employment Supervisor and/or current therapist (i.e., refraining from dual relationships as outlined in the Supervisors Practicum Guide): Yes
I agree to uphold the requirements and procedures outlined in the Supervisors Practicum Guide.: Yes

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