Clinical Supervisor Award

This award recognizes the contributions of an RCC-ACS to the discipline of Clinical Supervision. Applicants must hold the RCC-ACS designation (not provisional).

"*" indicates required fields

Name*

Name

First Last

City*

City

Email*

Are you a BCACC Member?*

Yes

What is your BCACC membership number?

Criteria

Training Supervisor Candidates*

Describe your experience training supervisor candidates, including years of experience, training settings, and notable contributions to developing future clinical supervisors.

Authorship (Books, Articles, etc.)*

Provide a list of books, articles, or publications to which you have contributed.

Teaching at a Post-Graduate Level*

If applicable, outline your teaching experience, including settings and course development.

Creation of Innovative Internship Programs*

Describe any innovative internship programs you have developed.

Do you have supporting colleagues?

Please include their names:

Endorsements from Other Members*

Include letters of endorsement or testimonials from colleagues, peers, or other professionals who can attest to your impact on clinical supervision.

Do you have supporting documents?

Upload any supporting documents (e.g., articles, project summaries, or testimonials) that showcases contribution.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB, Max. files: 5.

CAPTCHA