Fall 2025 LPC Supervisor 6 Hour Update Sign Up

LPC Supervisor 6 Hour Update Sign Up

Friday, October 3, 2025, 9:00am - 3:30pm
Location: Mending Clinic's new Mansfield office!

2384 US 287 N

Suite 204

Mansfield, TX 76063
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
LPC License Number*
Do you currently have any supervisees?*

YesNo
If yes, how many?*
Are you currently accepting new associates for supervision?*

YesNo
Do we have your permission to share your name and contact information with the participants of this training?*

YesNo
Please upload a headshot or other preferred picture of yourself to be used for the training.*

Cancelof
Please provide us with your professional contact info for networking. Example: Business name, website, business phone number, business email, etc*
The in person location of this training will be held in the south Arlington/Mansfield area. The specific location will be determined by the number of clinicians who sign up. You will receive the specific address closer to time for the training.

A live virtual training option is also available for clinicians who are unable to join us in person. You will be required to have your camera on for the entire duration of the training if you choose the virtual option.

I would like to sign up for:*

In Person Training

$180.00

Enter coupon

Total

$0.00

Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Lunch will be provided. Please put any dietary restrictions in the box below, or put n/a if you have no restrictions.*
T-Shirt Size (men's/unisex sizing) (Sold out of XL)

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For virtual participants, we will be sending you some hands-on training elements. What is your mailing address?*

Street Address

Street Address Line 2

CityState

Zip Code
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