|
Thank
you for visiting this site to register interest in offering online supervision
for others' clinical practice. You can indicate below whether your main interest
is in supervision for online or face-to-face work, say what sort of clinical practice
you are involved in, list the facilities you are interested in an online supervision
group using and select various other preferences regarding the type of group you
wish to conduct. The intention is to select supervisees for you, as far as possible,
according to your preferences. Once you have completed the form you can submit
it by clicking the 'submit' button at the bottom of this page. You will be e-mailed
shortly afterwards with confirmation that your form has been received.
<%
If request.querystring("Error")= "NoUsername" Then
Response.Write "Please ensure you complete the 'Username' field below"
End If
If request.querystring("Error")= "NoPassword" Then
Response.Write "Please ensure you complete the 'Password' field below"
End If
If request.querystring("Error")= "NonMatchingPasswords" Then
Response.Write "Please ensure you type exactly the same characters into the two 'Password' fields below"
End If
If request.querystring("Error")= "BadPassword" Then
Response.Write "You already have a password from a previous registration with the online-supervision site or with GroupInterVisual. Please ensure you type your correct password into the two 'Password' fields below."
End If
If request.querystring("Error")= "SecondUsername" Then
Response.Write "You already have a username from a previous registration with the online-supervision site or with GroupInterVisual. Please ensure you type your correct username into the 'Username' field below."
End If
If request.querystring("Error")= "Dupeusername" Then
Response.Write "Sorry - the username you chose ' " & Session("username") & " ' is already taken! Please select another username."
End If
Session("GivCookieTest") = Request.Querystring("GivCookieTest")
If Session("GivCookieTest") = "" Then
GivCookieTestBounceURL = "http://www.groupintervisual.net/asp/alienCookieTest.asp?Referral=www.online-supervision.net/asp/SupervisorRegistration.asp"
response.redirect GivCookieTestBounceURL
End If
Session("GivCustomerID") = Request.Querystring("GivCustomerID")
If Session("GivCustomerID") = "" Then
If Request.Cookies("OLS").HasKeys Then
Session("GivCustomerID")= Request.Cookies("OLS")("GivCustomerID")
End If
End If
Set conn = Server.CreateObject("ADODB.Connection")
conn.Open connstr
If Session("GivCustomerID") <> "" Then
strSQL = "SELECT Username, Title, Password, FirstName,"
strSQL = strSQL & " LastName, EmailAddress,"
strSQL = strSQL & " StreetAddress1, StreetAddress2, Town,"
strSQL = strSQL & " County, Country, PostCode, TelephoneNo"
strSQL = strSQL & " FROM Customers"
strSQL = strSQL & " WHERE CustomerID = '" & Session("GivCustomerID") & "'"
Set rs = conn.Execute(strSQL)
Session("username") = rs.Fields("Username")
Session("password") = rs.Fields("password")
Session("title") = rs.Fields("Title")
Session("firstname") = rs.Fields("Firstname")
Session("lastname") = rs.Fields("Lastname")
Session("emailaddress") = rs.Fields("EmailAddress")
Session("address1") = rs.Fields("StreetAddress1")
Session("address2") = rs.Fields("StreetAddress2")
Session("town") = rs.Fields("Town")
Session("county") = rs.Fields("County")
Session("country") = rs.Fields("Country")
Session("postcode") = rs.Fields("PostCode")
Session("telephone") = rs.Fields("TelephoneNo")
rs.Close ' Close recordset
Set rs = nothing ' Remove recordset
End If
%> |
| profession
|
| | I
am interested in the possibility of
offering online supervision mainly in connection with clinical practice in the
field of:
|
|
| | My
orientation is:
|
|
|
My
years of experience in this field total around
|
|
|
| I
am mainly interested in offering supervision for face-to-face clinical work.
|
<%
Response.write ""
%>
|
I
am mainly interested in offering supervision for online clinical work.
|
<%
Response.write ""
%>
|
| |
| I
envisage an ideal online supervision group as having a structure like this:
|
| |
|
size
of group membership |
|
| |
I
am only interested in one-to-one supervision |
<%
Response.write ""
%> |
| |
Ideally,
I see the minimum number of members as |
"> |
| |
Ideally,
I see the maximum number of members as |
"> |
| |
| method
of online interaction
|
|
| Ideally,
I would like the following facilities regularly used by the group |
| |
|
| |
A
restricted membership, private, e-mail discussion group |
<%
Response.write ""
%> |
|
|
Private
(password protected) online archives of forum messsages |
<%
Response.write ""
%> |
|
|
An
private Instant Message conference facility |
<%
Response.write ""
%> |
|
| A
private (password protected) file storage area |
<%
Response.write ""
%> |
| A
private videoconference facility |
<%
Response.write ""
%> |
|
|
My
years of experience of Internet use amount to
|
|
| |
|
| |
|
|
I would describe the sort of arrangement I am looking for as |
| | |
| | a
free-flowing exchange with people offering feedback to each other as and when |
<%
Response.write ""
%> |
| |
an
active, task-focused group with a set time committment from members |
<%
Response.write ""
%> |
| |
The
hours I anticipate wanting to commit to online supervision per week would be in
the region of: |
|
| | |
| charges | |
| Early
registrants intending to supervise others and who are willing to offer feedback
in developing and fine-tuning the system are being offered the opportunity for
the time being to maintain their registrations for free. Secure, online credit
card payment facilities will be made available for payment of supervision fees
at the end of the first year's research project, at which point those who have
participated in the research and contributed their services gratis during
the initial year will get priority in offering their services on a fee paying
basis. Are you willing to conduct online supervision gratis for the duration
of the research period, or will you only do so if there is a fee involved? |
| |
| | I
am willing to offer supervision for the duration of the research project gratis,
and look forward to being given priority in accessing payment facilities so that
I can receive fees for the supervision I provide as soon as these come online. |
<%
Response.write ""
%>
|
| |
I
do not want to be involved with this project in its first year 'research phase',
as I am only willing to offer supervision on a fee-paying basis. |
<%
Response.write ""
%>
|
|
|
| research |
| The
intention is to undertake some research to establish participants' views of the
value and optimum structure of online supervision facilities. Participants may
therefore be interviewed or invited to complete online questionnaires such as
this one, during the course of their participation, with a view to publishing
an account of the experiment. The understanding would be that no one's responses
would be quoted without their express permission. Are you willing to participate
in this?
|
|
I
would be willing to take part in this research
|
<%
Response.write ""
%>
|
|
I
would not be willing to participate in this research |
<%
Response.write ""
%> |
|
|
| personal
details |
| |
Title |
|
|
|
First
Name |
"> |
|
| Surname |
"> |
|
|
Address |
"> |
|
|
|
"> |
|
|
Town |
"> |
|
|
County |
"> |
|
|
Country |
"> |
|
|
Post
Code |
"> |
|
|
E-mail |
"> |
| |
|
| Telephone |
"> |
|
|
How
did you hear about GroupInterVisual's online supervision groups? |
|
| |
| comments
|
|
Please
use the space below to make any comments you would like us to read, either regarding
your expectations for online group supervision, or about this form, or about anything
else. |
| |
And
finally... We
need you to choose a username and password to uniquely identify you when you return
to this site either for supervision purposes or to participate in the research.
|
|
Thank
you for completing this form. Please now press submit, and your details will automatically
be entered onto our database. You will receive a confirmation e-mail at the address
you have submitted, and will hear further in due course. |
| |
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