Supervisor Endorsement

Thank you for providing a reference for your supervisee's application to the Pink Therapy GSRD Diploma. Please complete all fields below.

Reference

Applicant's Name (First) *

Applicant's Name (Last) *

Supervisor's Name (First) *

Supervisor's Name (Last) *

Supervisor's Email *

Supervisor's Phone *

How long have you supervised the applicant's work? *

What are the applicant's strengths in working with GSRD clients? *

Please state areas for development that have been identified in the applicant's work with GSRD clients. *

Please comment briefly on the applicant's ability to manage boundary issues arising from dual relationships. *

Can you let us know what, if any, specific training in the supervision of GSRD therapy you have personally undertaken? *

The information on this form is to the best of my knowledge true and correct.

Your Name (First) *

Your Name (Last) *

GDPR Agreement *

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Questions About This Reference?

GSRD Diploma

2027 Intake

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