Edit, Download, and Sign the Consent Form for Use in Individual Supervision
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How do I fill this out?
To fill out this form, you will need to provide some specific information. Make sure to complete all the necessary fields. Follow the detailed steps provided below.

How to fill out the Consent Form for Use in Individual Supervision?
1
Enter the name of the counseling intern student.
2
Specify the school or agency and its address.
3
Indicate the purpose of the audio/videotaping.
4
Provide all the required dates and signatures.
5
Ensure all information is accurate before submitting.
Who needs the Consent Form for Use in Individual Supervision?
1
Counseling intern students who need supervision for their sessions.
2
Supervisors who need to review counseling sessions for training purposes.
3
Educational institutions that require consent for audio/videotaping.
4
Agencies providing counseling services that need documentation.
5
Clients or counselees who are part of the counseling process.
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What are the instructions for submitting this form?
Submit the completed form to the designated supervisor at the school or agency. This can be done via email, fax, or in-person delivery. Ensure all required signatures are obtained before submission. If submitting electronically, scan the signed form and send it to the provided email address.
What are the important dates for this form in 2024 and 2025?
The important dates for this form in 2024 and 2025 are based on the academic and supervision schedules of the involved institutions or agencies. Ensure timely submissions as per the specific requirements.

What is the purpose of this form?
The purpose of this form is to obtain consent for audio and videotaping of counseling sessions for supervision, consultation, and training purposes. It is primarily used by counseling intern students under the Department of Counselor Education at The College of New Jersey. The form ensures that all parties involved are aware and agree to the recording and subsequent use of the sessions for educational purposes.

Tell me about this form and its components and fields line-by-line.

- 1. Client/Counselee: The person receiving counseling services must provide their name.
- 2. Date: The date on which the consent is provided.
- 3. Legal guardian: If required, the legal guardian's name and signature.
- 4. Counseling Intern Student: The name of the counseling intern student responsible for conducting the sessions.
- 5. Site Supervisor: The supervisor overseeing the counseling sessions must provide their name and signature.
- 6. School/Agency: The name and address of the school or agency where the counseling takes place.
- 7. Purpose: The specific purpose for which the audio/videotaping is being conducted.
What happens if I fail to submit this form?
Failing to submit this form can have several consequences, as it is essential for legal and educational purposes.
- Lack of Consent: The counseling sessions cannot be recorded without the client's consent, impacting the supervision process.
- Supervision Issues: The intern student may face difficulties in obtaining proper supervision and feedback.
- Educational Compliance: The intern may be non-compliant with educational requirements, affecting their academic progress.
How do I know when to use this form?

- 1. Counseling Interns: When intern students need to record sessions for supervision feedback.
- 2. Educational Institutions: When schools or colleges require documentation for counseling programs.
- 3. Counseling Agencies: When agencies need to maintain records for training and supervision.
- 4. Supervisors: When supervisors need consent to review recorded sessions.
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Who needs this consent form?
Counseling intern students, supervisors, educational institutions, agencies providing counseling services, and clients or counselees.
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How do I know my form is complete?
Ensure all required fields are filled out accurately and all necessary signatures are obtained before downloading the form.
What happens after I download the form?
You can use the completed form as required by the educational institution or agency and submit it accordingly.
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