Get Cce Approved Clinical Supervisor (acs) Program Application Packet 2020-2025

The CCE Approved Clinical Supervisor (ACS) Program Application Packet is essential for professionals seeking credentialing in clinical supervision. This guide offers step-by-step instructions for filling out the application conveniently online, ensuring that users can complete the process effectively.

Follow the steps to complete your application packet online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields, including your first name, middle initial, last name, previous name(s), and contact details such as address, phone number, and email.
3. Fill in your preferred pronouns and date of birth as requested. Optionally, provide your ethnic origin for statistical purposes.
4. Indicate your interest in volunteering, if applicable, and share how you learned about the CCE Approved Clinical Supervisor Program.
5. Attach copies of your transcripts that verify your academic degrees and any required licenses or certifications in the respective sections.
6. Complete the Ethics Attestation section by responding to each statement honestly regarding your legal history and professional conduct.
7. Review and sign the Applicant Agreement & Release Authorization, ensuring you understand all provided information is accurate and complete.
8. Document your coursework details in the Coursework Form if necessary, and submit evidence of completion for any training related to clinical supervision.
9. Gather the Clinical Supervision Endorsement Form and the Mental Health Practice Experience Form, ensuring they are filled out by the appropriate endorsers.
10. Complete the Payment Voucher, including your method of payment, and ensure your application fee is included with the submission.
11. Once all sections are completed, save your changes, download a copy for your records, and submit the application along with all required documents via your preferred method: mail or fax.

Start your application today to become a CCE Approved Clinical Supervisor!