Get Lpc Supervision Hours Log Nj 2020-2025

The Lpc Supervision Hours Log Nj is an essential document for licensed professional counselor candidates in New Jersey to record their supervised counseling experience. This guide provides clear instructions on how to efficiently fill out the form online.

Follow the steps to successfully complete the Lpc Supervision Hours Log Nj online.

1. Click ‘Get Form’ button to access the Lpc Supervision Hours Log Nj and open it for editing.
2. Begin by entering the applicant’s information, including the last name, first name, middle initial, maiden name (if applicable), address, city, state, ZIP code, telephone number, and email address.
3. Proceed to fill in the supervisor’s information with the same details: last name, first name, middle initial, maiden name (if applicable), address, city, state, ZIP code, telephone number, and email address.
4. Indicate whether the supervisor holds a clinical license in a mental health-related discipline by checking ‘Yes’ or ‘No’ and provide the relevant details about the supervisor's qualifications.
5. Fill out the questions regarding the supervisor's professional licenses in New Jersey and any other jurisdictions, including the year licensed and license number.
6. Provide the name of the graduate school attended, major, and highest degree earned by the supervisor.
7. Answer whether there are any circumstances that could preclude the supervisor's objective assessment of the applicant.
8. Detail the setting in which the applicant received supervised experience, including tax status, name of the setting, address, and contact number.
9. Document the applicant's title during supervision and the inclusive dates of supervision, alongside the total number of supervised counseling hours.
10. List the activities performed throughout supervision and whether weekly supervision notes were maintained.
11. Indicate the services and counseling procedures implemented by the supervisee, checking all that are applicable.
12. Complete the supervisor’s conclusions and recommendations section, assessing the applicant’s professional readiness and making appropriate remarks.
13. Sign and date the form to certify that all information is accurate, leaving space for any final comments.

Complete the Lpc Supervision Hours Log Nj online today to ensure your supervisory experience is appropriately documented.