Supervisor Letter

Your supervisee is enrolled in the EMDR Therapy Basic Training and needs you to confirm that they are pursuing a master's degree in a mental health field and are on a licensing track. Please provide the following information.

Pre-Licensed or Graduate Student Information (Supervisee)

Supervisee Name(Required)

First Last

Supervisee Email(Required)

Supervisor Information

Supervisor Name(Required)

First Last

Supervisor Email(Required)

Supervisor License Number(Required)

Supervisor License Type(Required)

Supervisor Signature(Required)

Signing below, indicates that you supervise the work for the above individual

Supervisor Letter

Pre-Licensed or Graduate Student Information (Supervisee)

Supervisor Information

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