Bacb monthly verification form 2022-2025

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  1. Click ‘Get Form’ to open the bacb monthly verification form 2022 in the editor.
  2. Begin by entering the Trainee Name at the top of the form. This identifies who is completing the fieldwork.
  3. Select the Fieldwork Type by checking either 'Supervised Fieldwork' or 'Concentrated Supervised Fieldwork'.
  4. Fill in the Month/Year and BACB Account ID to provide essential identification details.
  5. Indicate the State and Country where the fieldwork occurred for accurate record-keeping.
  6. Enter the Responsible Supervisor's Name and select their Qualification Type from the options provided.
  7. Document your Fieldwork Hours: input Independent Hours and Supervised Hours, then calculate Total Fieldwork Hours.
  8. Complete the Percent of Hours Supervised by dividing Supervised Hours by Total Fieldwork Hours.
  9. Both Supervisor and Trainee must sign and date at the bottom of the form, ensuring compliance with BACB requirements.

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Your fieldwork experience should encompass activities that will best prepare you for a BCBA role. Scheduling, administrative duties, laminating stimuli, or other tasks that arent behavior-analytic and/or duties specific to a behavior analyst cannot be counted.
RBT supervision must consist of at least 5% of the total hours worked monthly, with a minimum of 2 hours per month. It is required that a minimum of two face-to-face contacts occur each month, and at least one of these should be an individual session.
Supervision Contract. A statement that the trainee and supervisor are responsible for retaining and providing a copy of the contractual agreement and supervision documentation to the BACB, if requested. These documents should be retained for at least 7 years from the date of the final supervision meeting.
Supervisory Period 1 calendar month Fieldwork Hours per Supervisory Period min of 20 hrs. - max of 130 hrs. Individual Supervision Hours per Supervisory Period At least 50% of supervised hours must be individual (i.e., group supervision may not exceed 50%).
Currently, the BACB requires the following documentation for each supervision experience: Monthly Fieldwork Verification Form (Monthly-FVF) Unique documentation system. Final Fieldwork Verification Form (Final-FVF) at the end of the supervision experience.
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SUPERVISED FIELDWORK: A supervisory period is one month. In this month. You must accrue at least 20 hours, but not more than 130 hours. 4 supervision contacts with your supervisor are required in a supervisory period, and 1 observation with a client is required in this month.
This form must be signed by the last day of the calendar month following the month of supervision, and both you and your supervisor must retain copies. Once youve completed all of your fieldwork and met all of the requirements, your supervisor will sign your Final Fieldwork Verification Form.

bacb final verification form multiple supervisors