Counseling and Cupcakes: Your Path to Sweet Healing
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Sweet Clinical Supervision Program
Sweet Clinical Supervision Application
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Name
*
First
Last
Desired you your
Preferred Name and pronouns
Email
*
Phone number
*
City and State
*
Preferred contact method
Email
Phone
Text
Current status
*
— Select Choice —
Post-grad pre-licensed clinician
Student intern/practicum
Newly licensed awaiting credentialing
License Number
*
What are your most common presenting concerns/case types?
*
What are you seeking from supervision right now?
Case conceptualization
Treatment Planning
Ethics and documentation
Private practice development/business systems
Professional identity development
Neurodivergent affirming practice development
Support with burnout/sustainability
Supervision requirement: You understand the program minimum is 3 hours per month.
*
Yes, I understand and can commit
I understand and have additional questions
Preferred supervision frequency
Weekly
Twice a month
Monthly (not typical; may not meet program requirements)
Do you want to participate in group supervision?
Twice monthly group supervision
Not at this time
Desired start timeframe
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