Full Name:  Brian Doyle
Title/Position: Counsellor, Wilfrid Laurier Wellness Centre, Brantford Campus
Email: [email protected]
Work Phone Number: 519 756 8228 x 5803
Work Address Line 1: 103 Darling Street
Country: Canada
Province: Ontario
City: Brantford
Postal/Zip Code: Brantford
Professional Association/Affiliation: Counsellor
Name of Professional Association & Regulatory Body: College of Registered Psychotherapists of Ontario
Code of Ethics: see CRPO Website
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 in Counselling Psychology (MEd.)
Year Obtained: 2010
Years of Clinical Counselling Experience: 11
Do you have one full year of clinically-supervised experience in post degree?:  Yes
Years of Experience in Providing Clinical Supervision: 1.5
Applicable Training in Supervision: 1.5
What supervisory role will you play in this practicum?: Co-Supervisor
Full Name:
Title/Position:
Email:
Work Phone Number:
Will you be supervising more than one Yorkville University student concurrently?: No

 

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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