Full Name:  Michael Juarez
Title/Position: Social Worker
Email: [email protected]
Work Phone Number: 306-236-1584
Work Address Line 1: Northwest Health Facility, Mental Health and Addictions
Country: Canada
Province: Saskatchewan
City: Meadow Lake
Postal/Zip Code: Meadow Lake
Professional Association/Affiliation: Social Worker
Name of Professional Association & Regulatory Body: Saskatchewan Associations of Social Workers
Code of Ethics: Canadian Association of Social Workers
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): Master of Social work
Year Obtained: 2000
Years of Clinical Counselling Experience: 19
Do you have one full year of clinically-supervised experience in post degree?:  Yes
Years of Experience in Providing Clinical Supervision: 1
Applicable Training in Supervision: 1
What supervisory role will you play in this practicum?: Onsite Supervisor
Full Name:
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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