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INSTRUCTIONS FOR THE CONTRACT FOR SUPERVISION THIS ...

MARYLAND BOARD OF SOCIAL WORK EXAMINERS 4201 Patterson Avenue, Baltimore. Maryland 21215 ADVANCED LICENSURE Phone #: 410-764-4788 Toll Free #:1-877-526-2541 INSTRUCTIONS FOR THE CONTRACT FOR SUPERVISION THIS CONTRACT MUST BE SIGNED BEFORE BEGINNING SUPERVISION THE LMSW SUPERVISEE WILL SUBMIT THE ORIGINAL SIGNED CONTRACT WITH HER/HIS APPLICATION FOR ADVANCED LICENSURE EXCEPT FOR SIGNATURES PLEASE PRINT ALL INFORMATION USE THE BOARD'S WEB SITE TO VERIFY THE DATE & STATUS OF THE SUPERVISEE'S & SUPERVISOR'S LICENSES & THE SUPERVISORY APPROVAL DATE 1. FREQUENCY AND DURATION According to COMAR SUPERVISION regulations, all LMSW supervisees must ..receive a minimum of 3 hours of face-to-face SUPERVISION per month or 1 hour of face-to-face SUPERVISION for every 40 hours worked.

MARYLAND BOARD OF SOCIAL WORK EXAMINERS 4201 Patterson Avenue, Baltimore. Maryland 21215 ADVANCED LICENSURE Phone #: 410-764-4788 Toll Free #:1-877-526-2541

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