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Thank you for your interest in supervising and/or teaching at the Center for Dynamic Practice!
Please answer the questions below to reflect your interests and experience.
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Email
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Your email
Name
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First/last name and suffix
Your answer
Email
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Your answer
Phone number
Your answer
What is your interest? (please pick as many that apply)
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Individual Supervision
Group Supervision
Facilitating Case Seminar
Teaching/Didactic Seminar
Other:
Required
If you're interested in teaching, what specific and/or general topics? And for what length of time (ie, 1-3 or 3-6 classes; over a semester/year?)
Your answer
Please describe your supervision/teaching experience
Your answer
What format are you interested in supervising/teaching in?
In person (in Santa Fe)
Remote (ie, zoom)
Hybrid/occasionally in person
What is the maximum hours per week you anticipate being able to teach/supervise?
Your answer
What is your standard fee for supervision?
Your answer
Would you be willing to offer pro bono supervision/teaching for our students in training? If so, how many hours/students per week?
Your answer
What is/are your theoretical orientation/s?
Your answer
Do you have experience/training in psychodynamic/analytic theory?
And if yes, what training/experience, and what school/theorists are you most influenced by?
Your answer
Do you have any training or experience practicing/teaching/supervising in APA-recognized EBT models (ie., motivational interviewing, DBT, EFT, ACT)?
If yes, please explain.
Your answer
Are you licensed in New Mexico?
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yes
no
planning to get licensed in NM
in the process of currently getting licensed in NM
no license in and not planning to get licensed in NM
Do you have any supervisory certification in masters level mental health professions in NM? (if hired, we will cover the cost of this)
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no
yes, counseling
yes, social work
yes, counseling and social work
no, but am open to gaining supervisory certification in either/both
Other:
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