2025

Supervision Application

First Name

Phone Number

Are you seeking initial clinical licensure in Texas or Tennessee?

Texas

Tennessee

What is the name of your graduate program and graduation year?

Have you already received your LMSW license? If so, when was it issued?

Are you currently working in a social work or mental health setting? If yes, do you have at least 2 years of experience in this role or a related role?

What are your professional goals over the next year and what do you hope to gain from this clinical supervision experience?

Therapy From The Hart strives to help people 'Feel Better' so that they can take actions to 'Do Better' and ultimately 'Be Better' - for themselves, others, and the world around us. How does our mission align with your own?

Would you be open to facilitating individual therapy check-ins with current Therapy From The Hart clients in exchange for supervision hours?