Certification Commission Policy and Procedure Manual
Certification Commission Policy and Procedure Manual
Certification Commission Policy and Procedure Manual
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APPENDIX 3 D cont’d<br />
APPLICANT:<br />
Page 3<br />
DATE:<br />
Notations or Recommendations (Write out notations or recommendations, if any): *<br />
* Note: Applicants who are granted Associate Supervisor status might receive one or two<br />
specific notations that are concretely related to the applicant’s process of becoming<br />
certified as a ACPE Supervisor. Notations may only be removed by the <strong>Certification</strong><br />
<strong>Commission</strong> - not by regional <strong>Certification</strong> Committees which grant extension of Associate<br />
Supervisor status. Notations must be addressed adequately by the Associate Supervisor to<br />
be certified as ACPE Supervisor.<br />
SUBCOMMITTEE MEMBERS:<br />
(Please Print)<br />
_____________________________________<br />
Presenter<br />
_____________________________________<br />
Sub-committee chair<br />
_____________________________________<br />
_____________________________<br />
_____________________________<br />
_____________________________________<br />
<strong>Commission</strong> Chair<br />
23