Reflective Supervision/Consultation with Lisa Matter

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This survey includes currently available Reflective Supervision/Consultation slots with Lisa Matter. Please provide me with your contact information and your preference for meeting and I will reach out within 2 business days to follow up.

Full name: *

Email address: *

Best phone number: *

I am seeking reflective supervision/consultation for: *

My Colorado Coach Credential Renewal (24 hours required every 3 years)

An Infant Mental Health Endorsement Application

An Infant Mental Health Endorsement Renewal

Other:

Required

I am seeking *

Individual Reflective Supervision/Consultation

Group Reflective Supervision/Consultation

(Optional for group supervision), I would like to be in a group with the following people OR roles (e.g. Family Child Care Coaches, Infant Toddler Specialist Coaches, etc.):

I’d prefer: *

Evening--Second Monday 6:30 to 8:00 PM

Evening--Third Monday 6:30 to 8:00 PM

Evening--Fourth Monday 6:30 to 8:00 PM

Weekend--One Sunday every other month 10:00 to 11:30 AM

None of these work for me and I'll describe my request in the next question.

Required

Other options:

If none of the above options work for you, please use the following optional question to describe your ideal RS/C. Please feel free to suggest alternate times during the day and evening, alternate days of the week, and/or alternate lengths of 1 or 2 hours in addition to 90-minute slots.

Optional: I would prefer to receive RS/C on these days/times/lengths:

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