Application for Accredited Clinical Supervisor

Disclosure and Declaration

All applicants MUST answer the following questions                                              

1. if you have ever been convicted of a criminal offence (that falls outside of the clean slate legislation)

2. if you have ever been subject to disciplinary action from your employer

3. if you have ever had any complaints about your professional practice upheld

 Please have the appropriate documentation ready to upload in the Member Disclosure Section of this application.

  

Clean Slate Legislation

Under the Criminal Records (Clean Slate) Act 2004 you don’t need to disclose your convictions if you meet all of the following conditions:

  • Have had no convictions within the last seven years
  • Have never been sentenced to a custodial sentence e.g. imprisonment, Corrective Training, or borstal
  • Never been ordered by a Court following a criminal case to be detained in a hospital due to your mental condition, instead of being sentenced
  • Have not been convicted of a “specified offence” (e.g. sexual offending, offending against children, young people or the mentally impaired)
  • Have paid in full any fine, reparation, or costs ordered by the Court in a criminal case
  • Have never been indefinitely disqualified from driving