Clinical Supervisor Confirmation Form - NJPN ATWD Login Page - atwd njpn 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Applicant’s Name and Employer in the designated fields. Ensure accuracy as this information is crucial for your application.
3. Next, have your Clinical Supervisor fill in their Name, Title, and Credentials. This section validates their authority to supervise you.
4. Provide the Clinical Supervisor’s E-mail Address and Phone Number. These details are essential for communication regarding your application.
5. Indicate whether the Clinical Supervisor is eligible to supervise CADC interns under New Jersey law by selecting 'Yes' or 'No'.
6. Answer if the Clinical Supervisor will be/are you the applicant’s internship supervisor by selecting 'Yes' or 'No'.
7. Confirm if a Proposed Plan of Supervision has been submitted to the relevant authorities by selecting 'Yes' or 'No'.
8. Finally, ensure that the Clinical Supervisor signs and dates the form before submission.

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