ACI CLINICAL SUPERVISOR

ACI CLINICAL SUPERVISOR

Clinical Supervisor Accreditation
(PRIVATE CONFIDENTIAL)

Important: Please read & follow criteria for accreditation as it informs Accreditation process

Name
Name
First
Last
Home Address
Home Address
City
State/Province
Zip/Postal
Country
Work Address
Work Address
City
State/Province
Zip/Postal
Country
Which address do you wish us to use in writing to you?
All information given will determine whether your application will be considered for inclusion in the recognised Addiction Counsellor of Ireland CLG Clinical Supervisor’s register. Therefore, it is important to be as informative as possible. Use extra sheets if necessary.
Maximum upload size: 52.43MB
4. Details of your present Supervision as a Counsellor
Maximum upload size: 52.43MB
Do you provide Group Supervision?
Do you provide one to one Supervision?
DECLARATION

Important information to note

After form has been completed you will be redirected to a registration payment page. The fee is €100. Your form will not be evaluated for membership without payment.

If your membership is accepted you will email notification & a link to pay the membership subscription of €125 per annum.

Forms

Supervisor Report for Accredited Clinical Supervisor

Code of Ethics
CPD Framework
Membership Criteria

Addiction Counsellors of Ireland
Denshaw House
120 / 121 Baggot St.
Dublin 2
D02 FD45


01 797 9187
info@addictioncounsellors.ie

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