Common use of SUPERVISOR’S QUALIFICATIONS Clause in Contracts

SUPERVISOR’S QUALIFICATIONS. QUESTION YES NO Are you able to demonstrate at least (2) two years of alcohol and drug abuse counseling experience? Do you hold a current license for LADC or CADC? Have you completed the Board approved intern supervisor training? If not on file with the Board please provide a current copy of the certificate. Are you related to the applicant? Are you involved in a close, personal relationship or friendship with the applicant? Do you have or have you ever had a client relationship with the applicant? Number of interns currently under your supervision? Supervisors should be cognizant of the responsibility for supervising interns, please refer to NAC641C.285 for a detailed list of the supervisor’s duties. Supervisors may be subject to disciplinary action by the board for non-compliance of supervisory duties and/or held civilly liable by the courts for the practice of interns under their supervision. Supervisor should be available to consult with the Board about a certified intern being supervised by the licensed counselor concerning the record, competence in practice, emotional and mental stability, and professional and ethical conduct of the certified Intern.

SUPERVISOR’S QUALIFICATIONS. QUESTION YES NO Are you able to demonstrate at least (2) two years of alcohol and drug abuse counseling experience? Do you hold a current license for LADC LCSW or CADCMFT? Have you completed the Board approved intern supervisor training? If not on file with the Board please provide a current copy of the certificate. Are you related to the applicant? Are you involved in a close, personal relationship or friendship with the applicant? Do you have or have you ever had a client relationship with the applicant? Number of interns currently under your supervision? Supervisors should be cognizant of the responsibility for supervising interns, please refer to NAC641C.285 for a detailed list of the supervisor’s supervisors duties. Supervisors may be subject to disciplinary action by the board for non-compliance of supervisory duties and/or held civilly liable by the courts for the practice of interns under their supervision. Supervisor should be available to consult with the Board about a certified intern being supervised by the licensed counselor concerning the record, competence in practice, emotional and mental stability, and professional and ethical conduct of the certified Intern.

SUPERVISOR’S QUALIFICATIONS. QUESTION YES NO Are you able to demonstrate at least (2) two years of alcohol and drug abuse mental health counseling experience? Do you hold a current license for LADC or CADCLCSW, MFT, CPC? Have you completed the Board approved intern supervisor training? If not on file with the Board please provide a current copy of the certificate. Are you related to the applicant? Are you involved in a close, personal relationship or friendship with the applicant? Do you have or have you ever had a client relationship with the applicant? Number of interns currently under your supervision? Supervisors should be cognizant of the responsibility for of supervising interns, please refer to NAC641C.285 for a detailed list of the supervisor’s duties. Supervisors may be subject to disciplinary action by the board for non-compliance of supervisory duties and/or held civilly liable by the courts for the practice of interns under their supervision. Supervisor should be available to consult with the Board about a certified intern being supervised by the licensed counselor concerning the record, competence in practice, emotional and mental stability, and professional and ethical conduct of the certified Intern.

SUPERVISOR’S QUALIFICATIONS. QUESTION YES NO Are you able to demonstrate at least (2) two years of alcohol and drug abuse mental health counseling experience? Do you hold a current license for LADC LCSW, LMFT, LCPC, or CADCLCADC? Have you completed the Board approved intern supervisor training? If not on file with the Board please provide a current copy of the certificate. Are you related to the applicant? Are you involved in a close, personal relationship or friendship with the applicant? Do you have or have you ever had a client relationship with the applicant? Number of interns currently under your supervision? Supervisors should be cognizant of the responsibility for of supervising interns, please refer to NAC641C.285 for a detailed list of the supervisor’s duties. Supervisors may be subject to disciplinary action by the board for non-compliance of supervisory duties and/or held civilly liable by the courts for the practice of interns under their supervision. Supervisor should be available to consult with the Board about a certified intern being supervised by the licensed counselor concerning the record, competence in practice, emotional and mental stability, and professional and ethical conduct of the certified Intern.