Intern and Unlicensed Staff Supervisory Preference Form

  • Please indicate your preferred time slots by selecting your 1st choice and 2nd choice. As you know, scheduling is an awesome task. We need as much flexibility as possible while trying to accommodate programmatic requirements and individual needs. Please respond to the following items and return to the Academic Administrator.
  • MM slash DD slash YYYY

I would like to find a therapist
I would like to take a relationship workshop
I am interested in low fee services
I am interested in couples therapy
I am looking for professional education events