Required Clinical Supervision Training for KY LCSW Supervisors (2/18/2025)

"*" indicates required fields

Name

First Last

This field is hidden when viewing the form

Determine the legal and ethical requirements as specified in KRS.335.*

Identify the supervisor/supervised relationship and be able to appropriately complete a supervision contract.*

Identify the principles of ethical decision making.*

Identify the Code of Ethical Conduct as specified in 201 KAR 23:080.*

Evaluate the ethical dilemmas that may arise in the supervision of social work practice.*

The content met my expectations*

The content accurately reflected the learning objectives*

The content was useful for my practice or other professional development*

The content was current*

The instructional materials were suitable and useful*

The instructor presented the course material effectively*

The method to submit questions to the instructor was clear*

Course registration was user-friendly*

My request for accessibility accommodations were met satisfactorily, if applicable*

My questions or concerns were addressed to my satisfaction, if applicable*

Course technology was user-friendly*

Please answer the following questions in the textbox provided below:

Please provide any additional comments you may have regarding this course.*

This field is hidden when viewing the form

This field is hidden when viewing the form

Approved?

Approved

This field is hidden when viewing the form

Course Title

This field is hidden when viewing the form

Course Date

This field is hidden when viewing the form

Course Format

This field is hidden when viewing the form

License #*

Add your License # that you wish to be printed on your certificate.

This field is hidden when viewing the form

Credit hours

This field is hidden when viewing the form

Verbiage1

This field is hidden when viewing the form

Verbiage2