RSLC 2024-2025 Application
Thank you for your interest in the WI-AIMH Reflective Supervision Learning Collaborative (RSLC).  The goal of the RSLC is to increase statewide availability and accessibility of reflective supervision and to support professionals in pursuing Endorsement®.  The RSLC is designed for professionals who are interested in building and strengthening their capacity to provide individual or group reflective supervision/consultation (RSC) and becoming Endorsed Reflective Supervisors.  

The WI-AIMH RSLC is a 12-month process composed of in-person learning sessions and active implementation phases, with built-in support throughout the process.  It is critical that participants be fully prepared to commit to all components of the training to strengthen the overall investment of time and resources made to participate in the program.  The 12-month program includes 5 learning sessions; monthly reflective consultation; attendance at the WI-AIMH Infant and Early Childhood Mental Health Conference, and materials and resources to complement and support learning.   The RSLC is most appropriate for IMH professionals who have familiarity with reflective supervision and have organizational support to both attend the RSLC and provide reflective supervision within their agency or program.  

The full cost of operating the RSLC is $3,000 per participant. WI-AIMH is currently able to award up to 6 scholarships for Early Care and Education (ECE) professionals and is working diligently to secure additional scholarships and cost saving opportunities.  Nonetheless, agencies should budget for the full amount of $3,000.  Full payment is due by July 1, 2024.   

Before completing the application, please carefully read the full announcement and Frequently Asked Questions (FAQ’s) to gain a full understanding of the requirements and commitment. The FAQ can be found at https://wiaimh.org/rslc-faq Please answer all of the questions in the application to expedite the application review process.  It will take approximately 30 minutes to complete and needs to be completed in one session.  

Applications are due by May 1, 2024  and will be processed in the order in which they are received. During the review of applications WI-AIMH staff may follow up with you to gather additional information or share additional scholarship opportunities.  Acceptance decisions will be communicated upon conclusion of the application review, no later than June 1st 2024. The collaborative will begin in July with the first training sessions scheduled for Wednesday July 24th & Thursday July 25th, 2024.

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First and last name
Title
Agency
Agency Address, including city and zip code
County (you work in)
Telephone Number (best number to reach you)
Email
What service sector does your program or agency represent? (Please select the response that best applies to you.)
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Does your agency provide direct, relationship-based services to children ages 0-5 years and their caregivers/parents?
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What is your highest level of education attainment? (Currently, Endorsed Reflective Supervisors require a minimum of a Bachelor's degree)
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Did you complete the UW-Madison Infant, Early Childhood, and Family Mental Health Capstone Certificate Program?
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Did you complete FAN training
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Do you supervise professionals who provide direct, relationship-based services to children ages 0-5 years and their parents/caregivers?
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How many staff members do you supervise?
Currently, within your role at your agency, do you provide direct, relationship-based services to children ages 0-5 years and/or their caregivers/parents?
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In previous roles, prior to being a supervisor, did you provide direct, relationship-based services to children ages 0-5 years and their caregivers/parents?
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How much experience do you have with Reflective Supervision? (check all that apply)
Are you providing reflective supervision in your current role?
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Please describe your experience(s) with providing reflective supervision if applicable:
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