SUPERVISOR REFERENCE

SUPERVISOR REFERENCE

Reference (version October 2025)
Supervision reference request
Your supervisee is applying for accreditation with the Association of Christians in Counselling and Linked Professions (ACC). ACC require a reference from you for the purpose of assessing your supervisee’s competence to practice at an Accredited level. ACC’s accreditation requires applicants to be able to evidence SCoPEd Framework, Column B competences and to be able to demonstrate coherent case conceptualisations, mature reflections on contemporary areas of professional practice, and awareness of the risks, issues, and opportunities associated with being a counsellor who is Christian.

To enable a greater understanding of your supervisee’s counselling practice, we would like to know the nature of your supervisory relationship, what style of supervision is offered and how it is received and utilised.

We would be grateful if you could answer the following questions regarding the applicant in as much detail as possible. We recommend that you discuss its contents with your supervisee as part of their learning and development.
Information
Name of supervisee

First NameLast Name
Your name

First NameLast Name
Your email
example@example.com
Your phone number
Please enter a valid phone number with area code
Introduction
1. Select type of supervision you provide this supervisee
If you selected other, please give more details:
2. Please select what type of arrangement you have with this supervisee
If you selected other, please give more details:
3. My supervisee has provided evidence of at least 450 hours of supervised practice

YESNO
4. How long have you been supervising this applicant?
5. How frequent are the sessions?
6. How long is each session?
7. Do you feel that the supervision time and frequency of sessions received by the applicant are adequate in relation to the number of hours that he/she is counselling?

YESNO
If you answer no, please comment:
8. What form (theoretical model/approach, etc.) do the supervisory sessions take e.g. the seven eyed model, the integrated development model etc?
About you
9. Please give details of your counselling and supervision experience and the supervision you receive.
10. Please provide details of your supervision qualification
11. What level is your supervision qualification?
If you selected 'Other' above, please provide details:
12. Please state which accredited register you belong to and/or other counselling related membership bodies and provide register/membership numbers.
If you selected 'Other' above, please provide details:
Include professional body and register/membership number
13. Please let us know of any specialist areas of practice and/or client groups and confirm your training and expertise in these areas. Examples may include, but are not limited to, trauma, eating disorders, EMDR, psychosexual therapy, IFS, children and young people, couples, families.
Content, context and experience of supervision
15. On what areas of work have you been supervising this applicant?
16. Are there well-focused issues presented by the applicant for supervision?
17. What do you consider to be the applicant’s strengths and weaknesses (i.e. growing edges) with regard to their use of supervision?
18. How does the above affect their practice as a counsellor? It would be helpful here to comment also on their capabilities/competence, and to include where relevant their ability to safely and ethically work with clients who wish to discuss faith issues as part of their counselling process.
19. What are the counselling models the applicant understands and uses in their counselling practice? Please give a brief outline.
20. Do you have any other general comments, which may help us in our assessment?
21. Please let us know whether you have discussed this reference with your supervisee.

YESNO
If this was not possible, please tell us why.
22. With reference to the SCoPEd column B competences (see link at top of the form), please make an overall comment on the applicant’s capabilities/competence in working as an ACC accredited (SCoPEd B) counsellor. (If you also wish to make any comments about specific SCoPEd B competences please do so).
Declaration of supervisor

(a typed 'signature' is accepted)
I declare that the information contained in this reference is accurate.

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THANK YOU FOR COMPLETING THIS REFERENCE FORM

If you have any concerns or queries, please contact office@acc-uk.org
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SUPERVISOR REFERENCE

Supervision reference request

Information

Introduction

About you

Content, context and experience of supervision

Declaration of supervisor