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)

Supervisor Information

Supervisor Name(Required)
Signing below, indicates that you supervise the work for the above individual
Clear Signature
This field is for validation purposes and should be left unchanged.