Application for Supervision Please enable JavaScript in your browser to complete this form.Name *Phone *Email *How does therapy help, in your opinion? Why does it work?What is the purpose of supervision?Is there a specific population you want to work with (or not work with☺)?I want to work with interns focused on growing a successful private practice. Why does private practice feel like a good fit for you? Have you looked into getting placement at any sites to accrue hours? If so, where are you in that process?What has been your biggest clinical challenge so far? Clinical success?Tell me a bit about your previous experiences with supervision – what you liked, what you didn’t.What are some of your biggest strengths? Areas for growth?What are you looking for in a supervisor, and what prompted you to reach out to me?Tell me something about you outside of the therapy world. An interest, activity or past job that impacts who you are.WebsiteSubmit
