2013 form bacb experience-2025

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  1. Click ‘Get Form’ to open the 2013 form bacb experience in the editor.
  2. Begin by filling out your personal information at the top of the Experience Verification Form, including your name and contact details.
  3. Indicate the type of experience you are documenting by checking the appropriate box: Supervised Independent Fieldwork, BACB Approved University Practicum, or Intensive Practicum.
  4. Complete the experience hours section by accurately entering the number of independent and supervision hours accumulated during your supervisory period.
  5. Ensure that both you and your supervisor sign the form. The supervisor's signature must be original; alterations will not be accepted.
  6. Review all entries for accuracy before saving and exporting your completed form for submission.

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The Behavior Analyst Certification Board (BACB) requires you to gain fieldwork experience to become certified. Typically, you gain this experience by completing a qualifying practicum as part of your graduate degree program. Complete at least 1,500 hours of fieldwork to be eligible for certification.
Onset of Fieldwork. Trainees may not start accumulating fieldwork hours until they have: Started qualifying coursework for BCBA certification (they may begin accruing hours after attending the first class meeting); and Secured a qualified supervisor (see Supervisor Qualifications above).
a. BACB Final Experience Verification Form: You can provide a copy of this form to your supervisor, but the supervisor must submit it directly to the Boards office. This must be a copy of the form signed and submitted to the BACB when the applicant applied to the BACB for certification.
The Monthly Final Verification Form must be signed by the last day of the calendar month following the month of supervision. This document must be signed in accordance with the Acceptable Signatures Policy. SUPERVISOR AND TRAINEE MUST EACH RETAIN A COPY OF THIS FORM FOR AT LEAST 7 YEARS.
The Monthly-FVF must be signed by the last day of the calendar month following the month of supervision and we recommend that the Final-FVF be signed at the end of a specific fieldwork experience.