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SUPERVISION REGISTRATION FORM

Read and acknowledge:
  • Your updated Resume
  • Proof of your personal Liability Insurance with 1 million in 3 million minimum coverage ( shop around for carriers like CM&F)
  • Read and attest to the supervision policy
In our interview: I will ask about what days and times will you be available for supervision, is this for certification, licensure, career expansion or on the job requirement, what has been your biggest learning experiences including challenges, your professional goal for this path
By signing this form I ________________
Looking forward to working with you on this journey to support you to be successful in your path of being a helping professional kamla@kamiwellnesscenter.com 15800 Pines Blvd, Suite 300, #3146, Pembroke Pines, FL 33027
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