Home > Leadership Accreditation Pathway > Learning and Supervision Plan Learning and Supervision Plan Learning and Supervision Plan c. Learning and Supervision Plan The following is required to be submitted to the Accreditation Committee Your Name (required) Address (required) Email (required) Work Phone Home Phone Mobile Phone Professional Qualifications Professional associations Evidence of professional indemnity Confirmation of membership of the BSANZ Name and contact details of your Supervisor (required) (A plan is required for each supervisor) Supervisor's Name (required) Supervisor's Email (required) (The appointment of the Supervisor must be confirmed by the Accreditation Committee and done in consultation with the trainee.) Date of commencement of supervision (Format dd/mm/yyyy) Details of the proposed Balint group experiences (include the following information: Number, duration and frequency of Balint group meetings) Details of member and leadership roles at Balint group meetings Your proposed participation at Balint leadership Annual Residential Workshops Arrangements for the trainee to contact the Accreditation Committee within the first 12 months of training Other additional arrangements Δ LEADERSHIP ACCREDITATION PATHWAY APPLICATION PROCESS COURSE OUTLINE a. AGREEMENT: SUPERVISOR AND ACCREDITATION COMMITTEE b. AGREEMENT: SUPERVISOR AND SUPERVISEE – both to sign c. LEARNING & SUPERVISION PLAN OBSERVATIONS ACCREDITED LEADER TRAINERS