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  • Ar Lcsw Supervision Evaluation 2023

Get Ar Lcsw Supervision Evaluation 2023-2026

Arkansas Department of Health Social Work Licensing Board 5800 West 10th, Suite 100, Little Rock, AR 72204 * (501) 3725071 * Fax (501) 3726301 Mailing Address: P. O. Box 251965, Little Rock, AR 72225.

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How to fill out the AR LCSW Supervision Evaluation online

Completing the AR LCSW Supervision Evaluation form is an essential step for supervisees and their supervisors in the licensing process. This comprehensive guide provides clear instructions to help users accurately fill out the form online.

Follow the steps to successfully fill out the AR LCSW Supervision Evaluation

  1. Click the ‘Get Form’ button to access the AR LCSW Supervision Evaluation form and open it in the online editor.
  2. Fill in the supervisee's name and license number in the designated fields at the top of the form.
  3. Next, enter the supervisor's name and license number in the corresponding fields to ensure proper identification.
  4. Indicate the dates of supervision by filling in the start and end dates, as well as the total number of months covered.
  5. Record the average hours spent in supervision by entering the individual and group supervision hours in the provided spaces.
  6. Document the total number of hours worked in a social work position during the specified time period.
  7. Evaluate the supervisee on the provided practice skills and skills required for continuing competence by selecting the appropriate rating for each category.
  8. Assess the development of professional identity and ethical practice using the rating scale from unable to evaluate to superior.
  9. Provide any additional relevant information regarding the evaluation in the specified section to give context to the assessment.
  10. The supervisor must sign and date the form, certifying that the information provided is true and correct.
  11. The supervisee will also need to sign and date the form to confirm that they have discussed the evaluation and received a copy.
  12. Finally, ensure the completed form is emailed, mailed, or faxed to the Social Work Licensing Board within 60 days of the last date of supervision.

Complete the AR LCSW Supervision Evaluation online today to stay on track with your licensing requirements.

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