CONTRACT OF Clinical SUPERVISION
Supervisee: Address:
Postcode: Contact number: Supervisor: Date: Date to Review Contract: Joshua Cole Frances Rogers [Please circle]
Objectives (please state 3 aims for yourself within supervision) 1. 2. 3. Where is supervision held: Duration of Session: Telephone One Hour
It is agreed by the supervisee that a fee of £25 monthly will be made payable by cheque to Joshua Cole. 22 Revenue Chambers, St Peters Street, Huddersfield, HD1 1DL
Supervisee Signature:
Supervisors Signature: