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Podcast Guest Interest Form
Supervision Smörgåsbord talks about a little bit of everything regarding clinical supervision. In addition to tips and tricks to educate supervisors and enhance the supervisory experience for supervisees that Dr. Sanderson brings to the table - We love to interview folks like you!
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Email
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Your email
What is your name?
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Your answer
What are your pronouns?
Your answer
Do you have any accessibility needs for filling out this form? (If so - Please let us know! You can call us at 971-264-0879)
Your answer
What is a good email for you?
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Your answer
Are you currently a Clinicial Supervisor? or a Supervisee?
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Clinical Supervisor
Clinical Supervisee
Other:
What are some ideas of what you would like to talk about on the show?
Your answer
Tell me about anything you would like to plug on the show: (Like a book, your own podcast, openings at your practice, a new tool you developed etc)
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Your answer
Please post some information about yourself that you would like shared as your Bio in the podcast. Or if you would like to submit a 1 page with your bio and stuff - feel free to email it to: Tara@Drtarasanderson.com
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Anything else you would like me to know?
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