Do you posess at least one year of post-graduate supervised counselling experience in one of the counselling professions, in addition to the post-graduate counselling experience required to become registered or licensed? *

Will you be providing Practicum Supervision in the province of Ontario? *

Which regulatory college are you a registrant of? *

Have you completed 30 hours of directed learning in providing clinical supervision? *

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 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. *