MACP Practicum Portal

Supervisor Application

Yorkville University offers the Master of Arts in Counselling Psychology (MACP), which is designated in the province of New Brunswick and is delivered online.
Supervisor Application​ - Updated 2023

Basic Information

Do not use abbreviations. Please write out the province/state name in full.


Professional Association/Affiliation
Upon request, can you provide proof and copies of your provincial licensure or registration?
Professional Standing

Academic and Clinical Background

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?

Ontario Practitioners

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?

Supervisor Agreement

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.

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