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Fieldwork Verification Form:MONTHLYIndividual SupervisorInstructions: Please complete one form per supervisor, per fieldwork type. Trainee Name: Fieldwork Type (Select One): Supervised FieldworkBACB
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How to fill out bacb-monthly-experience-verification-form-individual
How to fill out bacb-monthly-experience-verification-form-individual
01
To fill out the BACB Monthly Experience Verification Form Individual, follow these steps:
02
- Begin by downloading the form from the official BACB website.
03
- Fill in your personal information such as your name, address, and contact details in the appropriate fields on the form.
04
- Provide your BACB certification number and the date of your certification.
05
- Specify the experience period for which you are reporting. This includes the start and end dates.
06
- List the hours of experience you have obtained in each content area, such as direct client services, supervision, and continuing education.
07
- Calculate the total number of hours for each content area and enter them in the designated fields.
08
- Indicate the percentage of experience you obtained in each content area.
09
- Sign and date the form, certifying that the information provided is accurate and truthful.
10
- Submit the completed form according to the instructions provided by the BACB.
Who needs bacb-monthly-experience-verification-form-individual?
01
The BACB Monthly Experience Verification Form Individual is needed by individuals who are seeking to maintain their Board Certified Behavior Analyst (BCBA) or Board Certified Assistant Behavior Analyst (BCaBA) credentials.
02
This form is used to document the applicant's ongoing experience in the field of behavior analysis, including direct client services, supervision, and continuing education.
03
It serves as proof of the individual's professional development and adherence to the BACB's standards and requirements.
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