TO: LICENSED ASSOCIATE PROFESSIONAL COUNSELORS

FROM: NORTH DAKOTA BOARD OF COUNSELOR EXAMINERS
2112 10^th AVE. SE
MANDAN, NORTH DAKOTA 58554

SUBJECT: SUPERVISION REQUIREMENT, CONTACT HOURS, CLIENT SETTINGS

Enclosed are two forms that detail the information needed to fulfil the supervision requirement for advancement to licensed professional counselor (LPC) status.

The Supervision Report Form:

* Defines the contexts of supervision (individual and group),
* Indicates and summarizes the total number of hours required (100), at least sixty (60) hours of which must
be in individual, face-to-face supervision,
* Contains a place for your supervisor to make a recommendation regarding professional licensure,
* Contains a place for the supervisor's signature.
When the supervision report is due, please fill in the top part of both forms attached. Complete and sign the form titled "Supervisee’s Record of Individual and Group Supervision" and give both forms to your supervisor. Your supervisor completes the bottom part of the “Supervision Report Form”, and mails both forms to the Board office at the address shown above.

We suggest that you keep both forms in a special folder so that the supervision information can be entered as it is provided. We need to see that the supervision has been provided at regular intervals over the two-year period of the license. Thus, we expect these forms to be sent to the Board by the supervisor just prior to the expiration date of your associate professional license, not before. About four to six weeks before the expiration date we will notify you of the need to apply for the licensed professional counselor (LPC) license and include the application form.

If your plan of supervision changes (different supervisor, different methods of supervision), it is necessary to inform the Board of the changes in writing. The Board will then notify you that the changes have been approved or not.

If you have more than one different supervisor during the two-year period of associate licensure, you will need to complete a separate set of forms for each supervisor.

In addition to attaining the required hours of supervision, you are also required to document a minimum number of client contact hours during the two-year period of supervision as an LAPC.

1. 200 or more direct contact hours with clients are required for each year. A total of at least 400 direct contact hours with clients for the two-year period is required.
   

1. Contact with at least ten separate clients must be verified for each year. At least five of these contacts must be individual clients. The remainder may be individual or group clients. An ongoing group will count as only one client.