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MONTHLY Experience Verification Form: Multiple Supervisors ...

MONTHLY Experience Verification Form: Multiple Supervisors ...

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MONTHLY Multiple Supervisors at One Organization This document must bear the signature (see the Acceptable Signatures Policy) of the responsible supervisor and trainee and must be signed by the last day of the calendar month following the month of supervision. SUPERVISOR AND TRAINEE MUST EACH RETAIN A COPY OF THIS FORM FOR AT LEAST 7 YEARS.

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