If your LCSW-BACS and your Agency Supervisor are not the same individual, please complete this Supervision Contract
If your LCSW-BACS and your Agency Supervisor are the same individual, please complete this Supervision Contract.
Supervision Contract Q&A’s
Supervision (Record of Supervision, Professional Experience Verification Record and Evaluation of Supervision)
Anyone currently in supervision should start the LCSW Application. Click here to start Phase 1 of the LCSW Application.
- Starting the LCSW Application will bring you into Phase 1
- Phase 1 of the LCSW Application contains the Record of Supervision, Professional Experience Verification Record and the Evaluation of Supervision. This phase will allow you to invite your supervisor(s) to keep track of your supervision. You will also invite your employer(s) to log your total work hours after you have terminated employment or have reached your total supervised hours.
- All of your supervision will already be visible on your application when you are finished. Once the final review step in phase 1 is verified, you will move to Phase 2: Application for Licensure.
How-to transition from paper to Certemy Q&A’s- LCSW Application
SUPERVISION CERTEMY STATUS KEY
Completed– Step has been completed by Supervisee and Supervisor and has been approved by the Board.
Pending Verification– Step has been completed by Supervisor AND Supervisee and is pending review and approval from the Board.
Partially Completed– Supervisee has invited Supervisor to complete this step. Once the Supervisor completes their part, this will change to ‘Pending Verification’.
Incomplete– Supervisee has not started this step or invited their Supervisor.