ALC Supervisee Interest Form
Please complete if you are interested in working with Alicia Winkle for supervision.
Email address *
What is your name (first and last)? *
Phone number? *
What city in Alabama do you reside? *
How did you hear about me? *
Have you completed your Master's degree? *
What is your degree? *
When would you like to start hours for your ALC? *
What is the site where you will be working to accumulate hours for your ALC? *
Will your site allow an LPC-S on site to review client charts and meet with you for supervision as needed? *
What populations are you most interested working with? *
Are you dedicated to 2 full years of consistent supervision at this time? *
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