LISW Professional Employment Reference


4757-23-01 Social Work Supervision

Please submit the supervision evaluation as soon as supervision is completed.This includes when the required hours are met, or when a supervision relationship is terminated.

  • This form must be completed by the supervisor only, not the supervisee. 

Under your Training Supervision the Applicant was engaged in the practice of social work with the intention to apply for a license as a Licensed Independent Social Worker. The supervisor and the supervisee both share responsibility for carrying out their role in this collaborative process of professional growth and development. The training supervisor is responsible for providing direction to the supervisee, who applies social work theory, standardized knowledge, skills, competency, and applicable ethical content in the practice setting. The recommendation you provide should be based upon the work you have done with the applicant over the previous two or more years. The Board provides additional information regarding Training Supervision on its web site. 

Please note two important definitions when completing the reference:
a) Individual supervision means face-to face contact between a supervisor and an individual supervisee in a private session wherein the supervisor and supervisee deal with problems unique to the practice of that supervisee.
b) Group Supervision means face-to face contact between a supervisor and a small group (not to exceed six supervisees) in a private session wherein practice problems are dealt with that are similar in nature and complexity to all supervisees in the group.

LISW Professional Employment Reference Form


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