Upon request, can you provide proof and copies of your provincial licensure or registration?
Which regulatory college are you a registrant of?
Ontario Clinical Requirements
Have you completed 30 hours of directed learning in providing clinical supervision?
Please indicate your directed learning activities:
Select all that apply
Do you understand CRPO’s definitions of clinical supervision, clinical supervisor and the scope of practice of psychotherapy?
I acknowledge that I will not agree to provide supervision to practicum students in circumstances that may form a dual relationship with the supervisee as outlined in the Supervisor Practicum guide (i.e., where I am the practicum student's direct employment supervisor, friend, therapist/counsellor, teacher, etc.)
I am currently a Faculty Member in the Faculty of Behavioural Sciences at Yorkville University
I am currently a Student in the Faculty of Behavioural Sciences at Yorkville University
I agree to uphold the requirements and procedures outlined in the Supervisors Practicum Guide.
I understand that all potential supervisors are required to provide a copy of (1) current CV or Resume and (2) registration/certification/licensure document to be reviewed and approved by the Department of Field Training, even if they have provided it previously. Please email these items to our Practicum Liaison [email protected]
in order to complete the application process.
Will you be providing Practicum Supervision in the province of Ontario?
I am a Member in good standing of a regulatory college whose members may practice psychotherapy
I possess at least five combined years of extensive clinical experience obtained during or after a degree(s) focused on psychotherapy. (Note: the five years of experience can be counted from the time you began working psychotherapeutically with clients. It is not dependent on when you graduated and/or became registered with a regulatory body: you can include experience prior to either of these events, if you were working psychotherapeutically during that time).
I meet the College of Registered Psychotherapists of Ontario (CRPO)'s "independent practice" requirement (completion of 1000 direct client contact hours and 150 hours of clinical supervision).
I have completed 30 hours of directed learning in providing clinical supervision (I understand that directed learning can include course work, supervised practice as a clinical supervisor, individual/peer/group learning, and independent study that includes structured readings)
I thoroughly understand CRPO's definitions of clinical supervision, clinical supervisor, and the scope of practice of psychotherapy