Supervised Practical Training Worksheet for CPS and CPC-R

Overview

Certified Prevention Specialists/Consultants must have 120/240 hours of direct supervision performing ATOD prevention functions related to the IC&RC Prevention Performance Domains, with at a minimum of 10 hours in each of the five domains. Effective April 1, 2011, the person(s) supervising the applicant must be a CPS-M / CPS-R or CPC-M / CPC-R or work in collaboration with a MCBAP certified Prevention Specialist/Consultant. This worksheet is to aid in the supervision process and should be retained by the applicant/supervisors.