Example: bachelor of science

SUPERVISION CONTRACT template

SUPERVISION CONTRACT (suggested template )This is an agreement between _____ (Supervisee) and_____( Supervisor).The purpose of SUPERVISION is to:( , meet requirements for training SUPERVISION ) _____EffectiveDates: _____; Frequency of Meetings: _____; Duration of SUPERVISION session: ____Type of SUPERVISION : ___ Group; ___ Individual; ____ combination of bothSupervisor s definition of SUPERVISION : ___(clearly provide your definition to promoteshared meaning) , Goals And Objectives Of fulfil requirements for training SUPERVISION ; promote development of supervisee s professional identity and competence; (Other)AS AGREED UPON BY SUPERVISOR AND Content Of content of SUPERVISION will focus on the acquisition of knowledge, conceptualization,and skillswithin the defined scope of context will ensure understanding of ethics, codes, rules, regulations, standards,guidelines(including consent, confidentiality/ privacy), and all relevant supervisory record formwill be used to document impressions of each supervisory session.

6. Implement supervisor directives in subsequent sessions; and 7. Maintain a commitment to on-going counsellor education and the counselling profession. 3. Procedural considerations: a. Supervisee’s written cases notes (plus diagnoses and treatment plans) and audio / video tapes may be reviewed in each session; b.

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Transcription of SUPERVISION CONTRACT template

1 SUPERVISION CONTRACT (suggested template )This is an agreement between _____ (Supervisee) and_____( Supervisor).The purpose of SUPERVISION is to:( , meet requirements for training SUPERVISION ) _____EffectiveDates: _____; Frequency of Meetings: _____; Duration of SUPERVISION session: ____Type of SUPERVISION : ___ Group; ___ Individual; ____ combination of bothSupervisor s definition of SUPERVISION : ___(clearly provide your definition to promoteshared meaning) , Goals And Objectives Of fulfil requirements for training SUPERVISION ; promote development of supervisee s professional identity and competence; (Other)AS AGREED UPON BY SUPERVISOR AND Content Of content of SUPERVISION will focus on the acquisition of knowledge, conceptualization,and skillswithin the defined scope of context will ensure understanding of ethics, codes, rules, regulations, standards,guidelines(including consent, confidentiality/ privacy), and all relevant supervisory record formwill be used to document impressions of each supervisory session.

2 Feedbackwillbe provided at the close of each session. SUPERVISION notes may be shared with andResponsibilitiesof both bring concerns/issues about Supervisee s question Supervisee about his/her work and give Supervisee constructive feedback on his/her work observe Supervisee s practice and to initiate supportive / corrective action as uphold ethical guidelines and professional make sure SUPERVISION sessions happen as agreed and to keep a record of the create a SUPERVISION file containing SUPERVISION records and other documents relating todevelopment and ensure that Supervisee is clear about his/her role and record the SUPERVISION session and to store their copy in the SUPERVISION monitor Supervisee s set standards and assess the Supervisee against know what Supervisee is doing and how it is being deal with problems as they impact on the Supervisee s superviseeand the agreed personal development complete all forms as requested by the State of Ohio Counselor, Social Worker.

3 And Marriageand Family Therapist Board including a professional disclosure statementof supervisor andsupervision logs ( ). uninterrupted time in a private Supervisor s attention, ideas and receive set part of the ask expect Supervisor to carry out agreed action or provide an appropriate explanation, within anagreed time have his/her development/training needs challenge ideas and guidance in a constructive uphold ethical guidelines and professional standards; be prepared to discuss client cases with the aid of written case notes and / or video / audiotapes; validate diagnoses, interventions, approachesand techniques used; be open to change and use alternate methods of practice if required; consult supervisor or designated contact person in cases of emergency; supervisor directives in subsequent sessions; a commitment to on-going counsellor education and the counselling s written cases notes (plus diagnoses and treatment plans) and audio / video tapes maybe reviewed in each session.

4 Relating to supervisee s professional development will be discussed; will be used to discuss issues of conflict and failure of either party to abide by the guidelinesoutlined in this CONTRACT . If concerns of either party are not resolved in SUPERVISION , (NAME OFALTERNATE PERSON TOWHOM TO MAKE GRIEVANCE TO) will be consulted; event of an emergency, supervisee to contact supervisor. If not available, then contact (NAME /CONTACT DETAILS OF APPROPRIATE PERSON). s Scope Of Practice- Brief description of Supervisor s work, qualifications and InsuranceAgreement as to hourly rate for SUPERVISION : _____ tobe paid by: _____Malpractice/ liability insurance will be arranged by supervisee:Yes_____ No_____(If yes, proof of such must be provided as soon as possible.)Date proof provided, with copy tosupervisor_____This CONTRACT is subject to revision at any time, upon the request of either the supervisee or the supervisor. A formalreview, however, will be conducted every six months and revisions to the CONTRACT will be made only with consent ofthe supervisee and approval of agree, to the best of our ability, to uphold the guidelines specified in this SUPERVISION CONTRACT and to managethe supervisory relationship and supervisory process according to the ethical principles of the CCAA CONTRACT is in effect fromDATE_____Date of revision or termination:DATE _____


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