Registration for Supervision Boot Camp

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If you have questions, contact either Ann Kraft at akraft@unmc.edu or Catrina Filken at cfilken@unmc.edu

BHECN's Supervision Boot Camp for Behavioral Health Professionals

First name *

Last name *

Credentials *

i.e. MD, DO, PhD, LIMHP, LADC, NP-APRN, MSW, etc. (if this does not apply to you, type N/A.)

Name of Employer *

(Type "private practice" if applicable)

Job title *

City/Town *

What is the primary town where you practice

State *

Additional practice sites *

If not applicable, type n/a. Otherwise, type the name of town(s) and include state if outside Nebraska.

Level of Supervisory Experience *

(Please check all that apply)

I have never supervised trainees

I am currently supervising, but new to the process

I am currently supervising, and have lots of experience

I am not supervising anyone currently, but have in the past

Required

What is your profession? Check all that apply. *

Clinical Social Worker

Licensed Psychologist

Marriage and Family Therapist

Professional Mental Health Counselor

Psychiatric Nurse Practitioner

Psychiatric Physician Assistant

Psychiatrist

Substance Use Disorder Counselor

Other:

Required

Email *

Cell phone (will only be used if there's a problem with your email address receiving the Zoom link information.) *

Are there specific topics or situations would you like to see addressed in the upcoming series? *

Submit

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