Diploma in GSRD Therapy Supervisor Endorsement

You have received this form because your Supervisee has applied for the Pink Therapy Diploma in Gender, Sex & Relationship Diversity Therapy (GSRDT).

We hope they will have discussed their application with you and that you are able to offer your endorsement.

The Pink Therapy Diploma in GSRDT is a one-year specialist training programme exclusively for qualified mental health professionals focusing on working with therapy clients of diverse genders, sexualities, identities, relationships, lifestyles and practices. This can form part of psychotherapy training – the missing link for mental health professionals working with LGBTQIA+ clients.

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Applicant Name *

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Supervisor's Name *

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Your Email *

Address *

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State / Province / Region

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Country

How long have you supervised the applicant's work? *

What are the applicant's strengths in working with GSRD clients? *

Please state areas for development that have been identified in the applicant's work with GSRD clients. *

Please comment briefly on the applicant's ability to manage boundary issues arising from dual relationships. *

Can you let us know what if any specific training in the supervision of GSRD therapy you have personally *

DECLARATION

Declaration (please enter your name below). The information on this form is to the best of my knowledge true and correct. *

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DECLARATION

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