Submitting Professional Credentials for Approval as a Site Supervisor

If you wish to serve as a site supervisor now or in the future for ECU Counselor Education students and/or interns, please complete this questionnaire. You will be asked to enter information about your place of employment, professional role, years of experience, academic degrees and professional credentials. 

Faculty will evaluate each potential supervisor's academic and professional credentials to ensure that all approved supervisors hold the necessary credentials required by the NC Board of Licensed Professional Counselors and the Council for Accreditation of Counseling and Related Educational Programs (CACREP) to supervise pre-service counselors enrolled in practicum or internship. You will be notified once you have been approved as a site supervisor. 

Approval notifications will be sent out monthly. However, if you feel concerned that your questionnaire did not submit correctly or if you have other questions, please feel free to contact the Counselor Education Clinical Experiences Coordinator, Dr. Kylie Dotson-Blake at blakek@ecu.edu.

Supervisor Credential Questionnaire