Reference Forms

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Please fill out forms online and click “Submit” to have them emailed to BCACC Head Office.

2013 Colleague Reference Form

2013 Clinical Reference Form

REFERENCE FORMS (at least 2) must be completed and sent directly from the referees to the BCACC Head Office. One of the references must have supervised your clinical work; the other can be a colleague.

BCACC requires a minimum of 100 hours of clinical supervision, which must be documented on a Clinical Reference Form.  If the 100 hours were supervised by more than one supervisor, each supervisor must complete a Clinical Reference Form for the number of hours she/he supervised.  Please report only clinical supervision hours, NOT client contact hours.
A. Qualifications of the Clinical Supervisor:
To be acceptable to the Committee, a “qualified professional” who provides the formal supervision required under bylaw 12(1)(f)iii must be a counselling professional who meets the following criteria:

1. The supervisor was appointed, by a university acceptable to the Board, to supervise a practicum or internship in a Master’s level counselling program.

OR

2. a) the supervisor is a registered member in good standing of a mental health profession that has third party accountability; OR

b) the supervisor has provided evidence of advanced skills in clinical counselling acceptable to the Committee equal to or greater than those which apply to members of the Association; OR

c) the supervisor holds a minimum of a Master’s degree that is acceptable to the Board and would otherwise meet or exceed the Association’s membership requirement;

AND

d) the supervisor has a minimum of 5 years’ clinical experience as a practicing counsellor or equivalent relevant experience before being acceptable as a supervisor to the Registration Committee.

B. At least 25 of the supervised hours must be directly observed by your clinical supervisor.  The clinical supervisor will witness your clinical work in one or more of the following ways:

a) direct observation of sessions
b) review of video-taped sessions
c) review of audio-taped sessions
d) co-counselling
e) co-facilitating

C.  The remaining 75 hours of clinical supervision may be comprised of a combination of the following:

a) case consultation
b) group supervision
c) file review
d) case management

D. Supervision which occurred prior to the start of the Master’s program will not be considered.