Before you take the time to complete this form, please be aware that we are only able to provide supervision to fully qualified psychologists and fully qualified social workers at the moment.
First Name*
Surname*
Preferred name
Your pronouns, if you feel comfortable to share them with us (eg. she/he/they)
Email*
Phone Number*
Your current address*
Street address
Suburb
Postcode
How did you hear about Inner Melbourne Clinical Psychology?*
Date of birth (day/month/year)*
If you have a particular supervisor in mind, please note their name below
If you don’t have a particular supervisor in mind, please take a look at our supervisor bios here. If after reading through these bios you’re not sure who might be a good fit for you, or your preferred supervisor isn't available, please fill out the questions below so that we can make some suggestions.
What are your preferred days/times for appointments?
What are the circumstances under which you are seeking supervision? You can select more than one.
Placement during an accredited higher degree programThe registrar program leading to area of practice endorsementThe re-entry program after a period of not practisingThe transitional program for overseas-qualified applicantsExternal supervision for those working in the public or private sectorSupervision for fully registered psychologistsSupervision for other mental health professionals including social workers, counsellors and psychotherapistsSecondary supervisionCase consultationsCritical incident debriefingOne-off supervision sessionsGroup supervisionReflective practice groups5 + 1 pathwayProvisional psychologist
Please tell us more information about which study pathway you are undertaking as a provisional psychologist.
What are your goals for supervision?
How often do you intend to attend supervision?
Do you have any preferences related to your supervisors’ style? For example, are you better suited to someone who is direct, gentle, structured or more fluid?
What have you found helpful and unhelpful about supervision that you have received in the past?
Is there anything else that you think it might be useful for us to know?
I understand that my data will be securely stored for the purposes of this booking enquiry.*
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