Recco S. Richardson Consulting Inc.

Licensure Educational Training (LET)

“An Effective Professional Counselor Licensure Supervision Program”

Participant’s Log Sheet

Participant’s Name: ____________________________________________

 

Date                                Length                                         Location                            Activity

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_________________________________________________      __________________

Participant’s Signature                                                                      Date

_________________________________________________     __________________

Supervisor’s Signature                                                                      Date

Recco S. Richardson Consulting Inc.

“An Effective Professional Counselor Licensure Supervision Program”