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ECCUs REQUEST FORM
Highlighting
supervisor's
contribution to the academic community
GENERAL INFORMATION
Name
First Name
Profession
Email
Preferred language
English
French
Current workplace
Are you a CCNB graduate?
Yes
No
Institution where diploma was obtained
Academic level completed
College certificate
College diploma
Advanced college diploma
Undergraduate
Master's
Doctorate
In which program
Graduating year
How many years have you been doing supervision?
Did you supervise students from CCNB?
Yes
No
For administrative purposes, please indicate whether your occasionally supervise students from other institutions (colleges / universities)
Yes
No
If so, please identify these institutions
Is this your first request for obtaining ECCUs?
(You can ask for recognition of activities in which you took part over the last five years)
Yes
No
Complete this form to be part of our database and obtain supervisory titles based on the ECCUs you have accumulated. You can apply for recognition in which you have been involved over the past five years. Fill all the text boxes that apply to your situation.
SUPERVISION
(Students from Collège communautaire du Nouveau-Brunswick (CCNB))
Traditional Model
(One supervisor and one student)
50 ECCUs
5 days, cumulative or continuous
100 ECCUs
> 1 week and ≤ 4 weeks
150 ECCUs
> 4 weeks
Co-supervision Model
(Two supervisors and one student)
50 ECCUs
5 days, cumulative or continuous
100 ECCUs
> 1 week and ≤ 4 weeks
150 ECCUs
> 4 weeks
Triad
(One supervisor and two students)
300 ECCUs
≤ 4 weeks
350 ECCUs
> 4 weeks
Observation Practicum
50 ECCUs
5 days, cumulative or continuous
Group Supervision
50 ECCUs
per student, maximun of 500 ECCUs
Identify the supervision activities during the last five years. Identify the type of supervision, the number of students and approximated dates.
(You can ask for recognition of activities in which you took part over the last five years)
CONTINUING EDUCATION
(Did you attend any continuing education?)
The Art of Supervising Trainees and other professional trainings
(of the CNFS - Volet Université d'Ottawa)
Online
30 ECCUs
per training
In class
100 ECCUs
two days
50 ECCUs
one day
20 ECCUs
one workshop (2 to 3 hours)
Other supervision training
(non CNFS)
In class/Online
100 ECCUs
two days
50 ECCUs
one day
20 ECCUs
one workshop (2 to 3 hours)
Active
(Offer from a CNFS member)
30 ECCUs
Annual Conference on Health and Wellness
of the CNFS - Volet Université d'Ottawa
50 ECCUs
Professional Excellence Program (PEP)
of the CNFS - Volet Université d'Ottawa
10 ECCUs
per PEP
Identify all continuing education activities during the last five years. Identify the titles, methods, duration and dates.
(You can ask for recognition of activities in which you took part over the last five years)