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BACB Final Fieldwork Verification Form 2023-2025 free printable template

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FINAL | FIELDWORK VERIFICATION FORM MULTIPLE SUPERVISORS AT ONE ORGANIZATIONWarning: Forms with missing information will be denied.2022 Fieldwork RequirementsYou may complete this form in Adobe Acrobat
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How to fill out BACB Final Fieldwork Verification Form

01
Obtain the BACB Final Fieldwork Verification Form from the BACB website or your supervisor.
02
Fill in your personal information at the top of the form, including your name, contact information, and BACB ID number.
03
Provide details about your fieldwork experience, including the dates, locations, and types of tasks completed.
04
Ask your supervisor to review and sign the form, verifying the hours and experiences documented.
05
Submit the completed form to the BACB as part of your certification application. Be sure to keep a copy for your records.

Who needs BACB Final Fieldwork Verification Form?

01
Individuals seeking certification from the Behavior Analyst Certification Board (BACB) who have completed their fieldwork experience.
02
Supervisors who are overseeing the fieldwork of applicants and need to verify their hours and experiences.
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Each RBT must obtain ongoing supervision for a minimum of 5% of the hours spent providing behavior-analytic services per month. Structure of supervision. Supervision must include at least 2 face-to-face, real-time contacts per month.
There are two supervised fieldwork types: Supervised Fieldwork and Concentrated Supervised Fieldwork. Concentrated Supervised Fieldwork provides a pathway for individuals to complete their fieldwork in fewer hours and with more supervision than Supervised Fieldwork.
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.
The one requirement is that you must have at least 60% unrestricted hours and no more than 40% restricted. For those accruing 2,000 hours, this means you must have at least 1,200 unrestricted hours and you cannot accrue more than 800 restricted hours.
11:38 16:35 How to Complete the BCBA Fieldwork Documentation Forms - YouTube YouTube Start of suggested clip End of suggested clip You will need different forms for each one. So you're going to write out your field work hours. ThisMoreYou will need different forms for each one. So you're going to write out your field work hours. This is a total of your all of your independent.

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The BACB Final Fieldwork Verification Form is a document used by individuals completing their supervised experience in behavior analysis to verify that they have met the necessary requirements for their fieldwork.
Individuals seeking certification from the Behavior Analyst Certification Board (BACB) after completing their required fieldwork experience must file the BACB Final Fieldwork Verification Form.
To fill out the BACB Final Fieldwork Verification Form, applicants must provide details regarding their supervised experience, including the number of hours completed, the type of activities performed, and verification from their supervisor.
The purpose of the BACB Final Fieldwork Verification Form is to confirm that the applicant has successfully completed the required supervised fieldwork experience as part of the certification process.
The information that must be reported on the BACB Final Fieldwork Verification Form includes the applicant's details, supervisor's information, a description of the supervised experience, hours completed, and a signature from the supervising behavior analyst.
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