Application for BCD Clinical
Social Workers seeking Board Certification in Clinical Supervision
1. Current Direct Practice (See
“Clinical Social Workers as Clinical Supervisors”)
Are you currently providing clinical supervision?
___Yes ____No
In the past three years, have you provided 100 hours or more of
clinical supervision?
___Yes ____No
2. Use of Consultant (See
“Consultant/Peer Advisor”)
Do you currently receive consultation, or participate in a peer
supervision group, focused on issues related to clinical supervision?
___Yes ____No
3. Continuing Education (See
“Certification Standards for Continuing Education”)
Over any time-span post-master’s, did you
have 15 clock hours of continuing education related to clinical
supervision?
___Yes ____No
4. Evaluators (See
“Qualifications of Your Evaluators”)
Do you have two colleagues who will attest, in a brief confidential
questionnaire, to your practice abilities in this specialty?
___Yes ____No
By answering “Yes” to the items above, you are eligible to apply
for this credential.
To continue with your application click
here.
Questions? Please contact
or 1-800-694-5285 x16.
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