PCB CIP Application | www.pacertboard.org | email@example.com | Revised January 2021
Supervision is a formal or informal process that is evaluative, clinical, educative, and supportive. It ensures
quality of clinical care and extends over time. Supervision includes observation, mentoring, coaching, evaluating,
inspiring, and creating an atmosphere that promotes self-motivation, learning, and professional development. In
all aspects of the supervision process, ethical and diversity issues must be in the forefront.
PCB has no requirements for who provides supervision. The person providing clinical supervision is at the
discretion of the agency.
Supervision can be provided in an individual, one-on-one setting and/or observation of skills or group
Supervision can be provided by more than one supervisor. In this case, provide a copy of page 11 of this
application to all the supervisors documenting supervision on your behalf.
REQUIRED: 150 hours of relevant education/training to include 20 hours in intervention
theory and practice; 12 hours in family systems; 12 hours in motivational interviewing; 12
hours in addiction; 6 hours in crisis intervention; 6 hours in behavioral health ethics.
Education is defined as formal, structured instruction in the form of workshops, trainings, seminars, in-services,
college/university credit courses, and online education.
There is no limit to the amount of online education that may be submitted.
Most three-credit college/university courses count as 45 hours. One training CE/CEU counts as one hour.
All education/training must be documented. College courses are documented with an official college transcript.
Trainings are documented with copies of training certificates.
Training certificates must have the applicant’s name, title of training, date(s) of training, the number of hours
being awarded, and the name of training organization. Training certificates submitted without this required
information on them will not be accepted.
If a training title on a certificate of attendance does not clearly indicate the education content, attach a copy of
the training description.
Training registration forms and/or training sign-in sheets are not acceptable forms of documentation.
Training must be non-repetitive meaning the same training cannot be claimed more than one time even if the
training is taken on different dates from different providers.
Official employer training tracking system/learning management system reports may be acceptable forms of
documentation for education/training provided that the report contains the name of the employee/applicant,
titles of each training, dates of each training, the number of hours of each training, and is signed by the
There is no time limit on when the education/training was received.