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supervisor register form

If you are an accredited supervisor, and would like to be added to our supervisor register, please fill out the form below.  Once your application has been approved, your name and details will be added to the register.

Supervisor register – application

"*" indicates required fields

Name*
Please select your region. If you provide supervision services in more than one region, please mention this below, as the last paragraph of the "brief summary of your experience".
(e.g., Macquarie, Lismore, Sydney, etc.)
Please add postnominals (e.g., BTh, MCert EM, MA PastCouns, etc.)
If you are a member of a professional association, please add here (e.g., PACFA, etc.)
Please provide proof of qualifications in the form of transcripts, certificates/testamurs, etc. You can upload up to 5 documents.
Drop files here or
Accepted file types: pdf, png, jpg, gif, Max. file size: 512 MB, Max. files: 5.
    Supervision services*
    Select all of the relevant supervision services you provide.
    Delivery formats*
    Please select all the delivery formats you offer
    Please provide a brief summary of your experience and services you provide. (Upon approval of your application, this brief summary will appear in our register)
    This field is for validation purposes and should be left unchanged.
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