Name: ECLS.2021.5.6.Supervisor Series
SKU: 61005
Availability: InStock

Name*

First Last

Email (you will receive a confirmation email using this entry)*

Agency/Organization*

Cell Phone (emergencies only)*

Are you a Licensed Social Worker or Licensed Professional Counselor?*

License Number (required for continuing education)*

What is your level of endorsement, if applicable?*

Please indicate your discipline*

How many years have you been supervising IMH clinicians?*

How many people do you supervise in an IMH setting?*

Select ALL of the training dates you will be attending for the supervisor series*

What are you hoping to gain from this training?

What questions do you have for the trainer(s)? These will be given to the trainers before the training day.

ECLS.2021.5.6.Supervisor Series

Product Description