Become an Approved Supervisor for the SASH Certifications

SASH credential supervisor application

SASH credential supervisors* help applicants seeking the SASH credential further their training experience in the specialty area by assisting with clinical application for their clients. The goal of supervision is to ensure clinical readiness to be SASH certified.

*Supervisors are not responsible for clinical decisions with clinical situations.

Supervisor Application

This form is to be completed by individuals applying to become an approved supervisor for candidates seeking the SASH credential.
  • I am applying to supervise candidates seeking this (these) credential(s).
  • Demographic Information for Directory

    Please provide contact information for the mentor directory.
  • Alternate Demographic Information

    If you wish to be contacted at a different address/phone please provide that information here. This information will not be published in the directory.
  • If you wish to be contacted at a different address/phone please provide that information here.
  • License Information

  • LCSW, LMFT, LPC, PhD, PsyD etc.
  • State licensed or equivalent (Not all countries have a license. Specify the equivalent for your location)
  • Supervision Experience

  • Please specify if you hold a supervision credential through NBCC or another by the state in which you practice.
  • Provide a detailed statement about your training in supervision (e.g. trainings, classes, etc.)
  • Reference

  • Provide contact information for a supervisee that SASH can contact.
  • Files to Upload

    Upload the following files: Copy of license | Copy of CV/Resume | Copy of malpractice insurance
  • Drop files here or
  • $0.00
  • This field is for validation purposes and should be left unchanged.