ACCT Supervisor Application

Registered Counselling Supervisor RCS Application

Application Requirements for Current MTCs

1. Current MTC designation (or equivalent professional association membership).
2. Applicants must provide proof of completed supervision training course or equivalent experience.
3. Applicant needs at least 5 years of practice ( including at least 1000 of direct client hours.)
4. Applicants must have received 120 hours of supervision.
5. Provide a letter of reference or ensure that you have a letter of reference on file with ACCT.
6. Accept and work within ACCT’s Supervisor Code of Ethics and Code of Ethics and Practice Standards for ACCT
7. Provide proof of current liability insurance.
8. Purchase or own a membership share.

Please note that there is an annual professional fee of $99.00 for Registered Counselling Supervisors, additional to the professional fees for MTC.

If you currently hold your MTC with ACCT use the RCS with MTC Application.

If you are not currently a member of ACCT, getting ready to apply is very important: make sure that your documents are already on your computer as electronic files. This is easy to do but does need to be done before your application.

Application Requirements for Non-MTC. 

1. Hold a master's degree or an equivalent to MTC/PAC designation.
2. Provide proof of registration with a recognized counselling or related professional association.
3. Have accumulated a minimum 5 years of practice, including at least a 1000 direct client contact hours and received a minimum of 120 hours of supervision.
4. Applicants must provide proof of completed supervision training course or equivalent experience.
5. Provide a letter of reference.
6. Accept and work within ACCT’s Supervisor Code of Ethics and Code of Ethics and Practice Standards for ACCT
7. Provide proof of criminal record check and current liability insurance.

Please note that there is an annual professional fee of $150.00 for Registered Counselling Supervisors, who do not also hold the MTC designation.

Supervisor Approval Request for non-members of ACCT
If you are supervising ACCT members, but you are not applying for the Register Counselling Supervisor designation, you are NOT required to upload documents below but we do require you to fill in the following information below.

1. Your Name and contact information
2. Your membership # with a recognized counselling association
3. Check both declaration statements

Please note that there is no charge for supervisors who are not members of ACCT to supervise ACCT members.

Prefix

Your Contact Information

Prefix

* First

Middle

* Last

ACCT Membership Number (If applicable)

* Name of Professional Association

  ACCT
  Other

Professional Registration Number other than ACCT

Specify Professional Association if not ACCT

Registration certificate with another association:

Please notify us separately if your contact details with ACCT have changed

Work Address

* City

* Province ABAKALARASAZBCCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMBMDMEMHMIMNMOMPMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRPWQCRISCSDSKTNTXUTVAVIVTWAWIWVWYYK

Postal Code

* Country

Work Phone

Mobile

Work Email

* Home Address

* City

* Province ABAKALARASAZBCCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMBMDMEMHMIMNMOMPMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRPWQCRISCSDSKTNTXUTVAVIVTWAWIWVWYYK

* Postal Code

* Home Phone

* Email

Website

* Number of Years Counselling Experience

* Number of Direct Client Contact Hours Number of hours counselling clients (paid or unpaid, individual, couples, family or group)

* Number of hours of supervsion recieved Number of hours spent face-to-face or in a group with supervisor, receiving supervision

* Number of Hours Spent With Supervisor

* Upload: Upload Supervision and Client Hours Log

Name of Supervisor

Supervisor's Registration #

* Upload: Copy of Current Resume

Non-ACCT Supervisor's Professional Association

* Upload: Proof of Liability Insurance

* Upload Proof of Supervision Course or Equivalent Experience

Upload Highest Level Diploma or Certificate

Upload Report from Supervisor or Letter of Reference

Upload Criminal Record Check If you already have a CRC on file with ACCT, you are not required to resubmit. If not please upload a current (within last 12 months) CRC.

* Newsletter Opt In I consent to receive newsletters, counselling news and updates, announcements, event invitations, and other electronic messages, which may contain promotions regarding ACCT news, upcoming PD offerings, ACCT community events, our annual AGM etc.

  Yes
  No

* Directory Listing Do you want your listing visible in the online directory?

  Yes
  No

* Pledge

  I understand that as a Member of the Association of Cooperative Counselling Therapists, I am an ACCT ambassador and I agree to uphold our values of competency-based counselling, cooperation, teamwork, equality, transparency, lifelong learning and financial accountability. I hereby sincerely pledge these ACCT values and my loyalty to my colleagues and co-owners in ACCT.

* Supervision Pledge

  I agree to receive a minimum of 10 hours of supervision annually.

* Declaration

  I agree to abide by the Code of Ethics for Supervisors and the Code of Ethics and Standards Practice for ACCT.

* Signature By typing your name in the box above you solemnly agree that the contents of this application form are true and that your typed name represents your personal signature.

* Volunteer Committment As a cooperative, ACCT is owned by the members. We encourage all members to offer a minimum of 20 hours volunteering with ACCT, OVER THE LIFETIME OF THEIR MEMBERSHIP.

  I have read and understood the above.

*Please enter the text in the security image: