Clinical supervision evaluation form template
[DOCX File]Supervision Professional Disclosure Statement
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Provide feedback each session and a formal evaluation at each quarter and at the end of the supervision contract. Review client case notes and other materials for quality control purposes. Complete supervision record at each supervision session. Maintain licensure as a clinical supervisor in NC and status as a NBCC approved clinical supervisor.
[DOCX File]Evaluation Template for Full-Time Faculty
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Evaluation Template for Full-Time Faculty. THE UNIVERSITY OF FINDLAY. Faculty Evaluation (Revised Spring 2017 ... Non-tenure track faculty shall complete the sections of the form relevant to their primary responsibilities as well as additional responsibilities specified by their department and college. ... clinical supervision and/or ...
[DOC File]SAMPLE EVALUATION FORM #1 - Perelman School of Medicine
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EVALUATION TOOL. We appreciate your help in evaluating this program. Please indicate your rating of the presentation in the categories below by circling the appropriate number, using a scale of 1 (low) through 5 (high). Please fill out both sides of this form: OBJECTIVES This program met the stated objectives of: 1.
[DOCX File]Welcome to the County of Santa Clara
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☐ Evaluation Issues ☐ Termination ☐ Diversity/Culture ☐ Level of Care ☐ Ethical issues ☐ Counter Transference Issues ... ☐ Role Play ☐ Process Recording ☐ Video Tapes ☐ Live Supervision ☐ Clinician Report ☐ Case Presentation . Comments. including: (For . Example, Supervisee Strengths, Challenges, task that need ...
[DOC File]Sample Supervision contract - University Health Services
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Supervision Contract . This contract establishes parameters of supervision, assists in supervisee professional development, describes the evaluation process, and provides clarity in supervisor and supervisee duties, roles, and responsibilities for the Postdoctoral Psychology Residency Training Program at University Health Services-Mental Health, University of Wisconsin-Madison.
[DOC File]Agreement for Supervision for Clinical Licensure
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Provide ongoing and final evaluation of the supervisee’s clinical skills. Provide oversight and guidance in diagnosing, conceptualizing, treating and dealing with the supervisee’s clients. Conduct supervision with a focus on the raw data as presented by the supervisee in …
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