2022-BCBA-Fieldwork-Requirements_190125.csv

"BCBA FIELDWORK REQUIREMENTS"
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"Koehler Designs_BACB_113011                                                                   BACB LOGO VECTOR MASTER FILE"
"T :: Stefanie Koehler • stefanie.m.koehler@gmail.com • 604-563-9412 • Vancouver, BC, Canada"
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"Table of Contents"
"Supervisor Requirements .................................... 2"
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"Supervision Requirements .................................. 2"
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"Fieldwork Criteria.................................................... 5"
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"Documentation of Ongoing Supervision"
"and Fieldwork ...........................................................7"
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"Optional Resources................................................ 8"
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"Fieldwork Audits...................................................... 9"
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"Glossary of Terms...................................................10"
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"Updated 01/2019 Copyright © 2019, BACB®                                                                                Behavior Analyst Certification Board | BCBA Fieldwork Requirements"
"       BCBA FIELDWORK REQUIREMENTS"
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"One of the primary eligibility requirements for certification as a Board Certified Behavior Analyst®"
"(BCBA®) is the completion of defined practical supervised fieldwork in applied behavior analysis."
"The BCBA Fieldwork Requirements represent the criteria for supervised fieldwork (hereafter referred"
"to as “fieldwork”)."
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"Regardless of when the hours were earned, applicants who apply for BCBA certification on or"
"after January 1, 2022 must meet these requirements. Because BACB requirements may change"
"over time, supervisors and trainees are responsible for being knowledgeable about current"
"information from the BACB website, BACB newsletters, and the online table of recent and upcoming"
"changes to ensure that accrued experience hours will qualify at the time of application."
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"Supervisor Requirements."
"Supervisor Qualifications. Supervisors must be one of the following:"
"• A BCBA/BCBA-D™ in good standing who has been certified for at least one year and"
"meets an ongoing supervision CEU requirement; or"
"• A BCBA/BCBA-D™ in good standing who has been certified for less than one year and is"
"receiving consultation on a monthly basis from a qualified consulting supervisor; or"
"• A licensed or registered psychologist certified by the American Board of Professional"
"Psychology in Behavioral and Cognitive Psychology who was tested in Applied Behavior"
"Analysis; or"
"• An ABAI Verified Instructor."
"2                          Supervisor Training. Supervisors must complete an 8-hour supervision training before providing"
"any supervision to those accruing fieldwork hours. Supervisors are responsible for ensuring they"
"have completed the training prior to providing supervision. Trainees must confirm the date that the"
"supervisor completed the training prior to signing a supervision contract."
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"Supervisor/Trainee Relationship. The supervisor may not be related to, subordinate to, or employed"
"by the trainee during the fieldwork period. Employment does not include compensation paid to the"
"supervisor by the trainee for supervision services."
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"Supervision Requirements."
"Nature of Supervision. The purpose of supervision is to improve and maintain the behavior-analytic,"
"professional, and ethical repertoires of the trainee and facilitate the delivery of high-quality services"
"to the trainee’s clients. Behavior-analytic supervision includes, but is not limited to:"
"• Monitoring the skills of the trainee throughout the supervised fieldwork"
"• Developing and communicating performance expectations to the trainee"
"• Conducting behavioral skills training for the trainee"
"• Observing the trainee’s performance with clients and delivering feedback"
"• Modeling technical, professional, and ethical behavior"
"• Guiding the development of behavioral case conceptualization, problem-solving, and"
"decision-making repertoires"
"• Reviewing the trainee’s written materials (e.g., behavior programs, data sheets, reports)"
"and delivering related feedback about the products"
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"Behavior Analyst Certification Board | BCBA Fieldwork Requirements                                       Updated 01/2019 Copyright © 2019, BACB®"
"                                                           BCBA FIELDWORK REQUIREMENTS"
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"• Overseeing and evaluating the effects of the trainee’s behavior-analytic service delivery"
"• Evaluating the effects of supervision throughout the supervised fieldwork"
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"Structure of Supervision. Supervision should ideally consist of individual (i.e., one-on-one)"
"contacts between the supervisor and trainee, however, group supervision is permitted in"
"certain circumstances. Groups are interactive meetings in which 2-10 trainees who share similar"
"experiences participate in the supervision activities described above (Nature of Supervision). The"
"number of trainees in a group meeting may not exceed 10 at any time, regardless of the number"
"of BCBAs in the meeting. If non-trainees are present, their participation should be limited and their"
"presence must not inhibit discussion or interfere with participation by trainees."
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"Group Supervision Restrictions. The amount of group supervision may not exceed the"
"amount of individual supervision in a given supervisory period. In other words, supervision"
"may be conducted in groups for no more than half of the total supervised hours in each"
"supervisory period."
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"Observation with Client Requirements. The trainee must be observed working with a"
"client in the natural environment during each supervisory period by at least one supervisor"
"(i.e., an observation by at least one supervisor when there are multiple supervisors at one"
"organization or one observation per individual supervisor). In-person, on-site observation"
"is preferred. However, the observation may be conducted using asynchronous (e.g.,"
"recorded video) or synchronous (e.g., live video conference) formats."
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"Responsibilities of the Supervisor. When behavior analysts are functioning as supervisors, they"
"must take full responsibility for all facets of this experience. Therefore, it is the responsibility of the"
"3"
"supervisor to ensure that the trainee abides by all ethical and legal requirements. Responsibilities of"
"the supervisor include, but are not limited to:"
"• Being fluent in, current in, and compliant with the all BACB requirements relating"
"to fieldwork"
"• Confirming that the trainee has met all requirements prior to the outset of"
"supervised fieldwork"
"• Consistently demonstrating technical, professional, and ethical behavior for the trainee"
"• Ensuring that fieldwork activities are in the best interest of the client rather than strictly"
"for the purpose of meeting the fieldwork requirements"
"• Providing supervision only within their areas of defined competence"
"• Taking on only a volume of supervisory activity that is commensurate with their ability to"
"be effective"
"• Delegating to their trainees only those responsibilities that trainees can reasonably be"
"expected to perform competently, ethically, and safely, or providing the conditions for"
"the trainee to acquire those skills in an ethical and safe manner"
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"Updated 01/2019 Copyright © 2019, BACB®                                                Behavior Analyst Certification Board | BCBA Fieldwork Requirements"
"       BCBA FIELDWORK REQUIREMENTS"
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"• Ensuring that supervision, fieldwork activities, and trainings are behavior-analytic in"
"content, effectively and ethically designed, and meet the requirements for licensure,"
"certification, or other defined goals"
"• Providing a clear written description of the purpose, requirements, evaluation criteria,"
"conditions, and terms of supervision prior to the onset of the supervision (i.e., behavior"
"analysts are responsible for the development and execution of the supervision contract,"
"see Supervision Contract below)"
"• Designing and implementing feedback and reinforcement systems in a way that"
"improves trainee performance"
"• Providing documented, timely feedback regarding the trainee’s performance on an"
"ongoing basis"
"• Designing systems for obtaining ongoing evaluation of their own supervision activities"
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"Supervision Contract. The trainee and supervisor must develop and sign a written contract at the"
"outset of the supervisory relationship. The purpose of the contract is to protect all involved parties"
"and align fieldwork activities with the purpose of supervision (see the Sample Supervision Contract"
"for BCBA/BCaBA Trainees). The contract should include:"
"• The responsibilities of the supervisor and trainee, including the completion of the 8-hour"
"supervision training by the supervisor and the adherence of both parties to the"
"fieldwork requirements;"
"• A description of the appropriate activities and training objectives individualized to"
"the trainee;"
"4"
"• The objective and measurable circumstances under which the supervisor will not sign"
"the trainee’s Monthly and Final Fieldwork Verification Form;"
"• The consequences if the parties do not adhere to their responsibilities (including proper"
"termination of the relationship);"
"• A statement requiring the trainee to obtain written permission from the trainee’s on-site"
"employer or manager when applicable;"
"• An attestation that both parties will adhere to the BACB’s ethics requirements; and"
"• 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."
"Disputes about the supervisory relationships should first be addressed directly between the"
"supervisor and the trainee. If there is an ethical violation related to the fieldwork, the matter may be"
"reported to the BACB by filing a Notice of Alleged Violation (NAV). Trainees may submit a Contested"
"Fieldwork Form when the supervisor refuses or is unable to sign the Final Fieldwork Verification"
"Form even though all of the supervision-contract terms have been met. In the event of a contractual"
"dispute, issues may need to be addressed through an appropriate independent legal process."
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"Multiple Supervisors/Settings. It is permissible to use multiple supervisors and settings in order"
"to meet the fieldwork requirements. In such cases, all parties must take care to ensure that the"
"supervision contract includes all relevant parties and clearly defines all roles and responsibilities."
"In cases where multiple supervisors share responsibility for a trainee’s fieldwork, the Monthly and"
"Final Fieldwork Verification Forms for Multiple Supervisors at One Organization should be used to"
"document the fieldwork."
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"Behavior Analyst Certification Board | BCBA Fieldwork Requirements                                       Updated 01/2019 Copyright © 2019, BACB®"
"                                                        BCBA FIELDWORK REQUIREMENTS"
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"Fieldwork Criteria"
"The table below summarizes the criteria for each fieldwork type."
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"Concentrated"
"Supervised Fieldwork"
"Supervised Fieldwork"
"Fieldwork Hours Required to Qualify                       2000                              1500"
"Supervisory Period                                                1 calendar month"
"Fieldwork Hours per Supervisory Period                     min of 20 hrs. - max of 130 hrs.                   ?"
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"Minimum Number of Supervisor-Trainee"
"Contacts per Supervisory Period                         4 contacts                      6 contacts"
"(contacts must be at least 15 minutes)"
"Observation of Trainee with Client per"
"1 observation                  1 observation"
"Supervisory Period"
"Supervised Hours per Supervisory Period                5% of hours                     10% of hours"
"Individual Supervision Hours per                 At least 50% of supervised hours must be individual"
"Supervisory Period                                   (i.e., group supervision may not exceed 50%)."
"At least 60% of supervised fieldwork must be spent"
"Unrestricted Activities"
"engaged in unrestricted activities."
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"Onset of Fieldwork. Trainees may not start accumulating fieldwork hours until they have:                        ?                            5"
"• 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)."
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"Duration of Fieldwork. The timeframe of the fieldwork may not exceed 5 continuous years (e.g., May"
"2020 to April 2025)."
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"Fieldwork Types. 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."
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"Combination of Fieldwork Types. Trainees may accrue hours in a single category or"
"may combine the two types to meet the fieldwork requirement (i.e., within a supervisory"
"period or across supervisory periods), with fieldwork hours for Concentrated Supervised"
"Fieldwork having approximately 1 1/3 times the temporal value of Supervised Fieldwork."
"Trainees must meet all other supervision requirements independently for each fieldwork"
"type. For example, the required percentage of supervision, number of observations, and"
"number of contacts must be met independently for each fieldwork type."
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"Accrual of Fieldwork. No fewer than 20 hours but no more than 130 hours of fieldwork may be"
"counted per month. Fieldwork hours include independent hours (supervisor not present) and"
"supervised hours (supervisor present)."
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"Updated 01/2019 Copyright © 2019, BACB®                                           Behavior Analyst Certification Board | BCBA Fieldwork Requirements"
"       BCBA FIELDWORK REQUIREMENTS"
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"Partial Months. Some fieldwork requirements (e.g., number of contacts) may need to be prorated in"
"instances where a trainee does not work a full calendar month (e.g., 4 contacts were required but"
"only 2 weeks of fieldwork were accrued within the month). The BACB does not provide formulas for"
"prorating every instance where there may be a deviation in the calculation of the supervisory period."
"Instead, it is the responsibility of the supervisor to determine how best to prorate the fieldwork. In"
"the event of an audit, the BACB will require evidence of how the supervisor prorated the fieldwork"
"(and all associated requirements) to ensure the partial fieldwork was consistent with these criteria."
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"Clients. Any person (or groups of people) for whom behavior-analytic services are appropriate"
"may be a client. The trainee may not be related to the client, be the client’s primary caregiver, or"
"be related to the client’s primary caregiver. Trainees must work with, be observed with, and receive"
"feedback from their supervisor for multiple clients. This requirement is applicable for the duration of"
"the fieldwork (i.e., not per supervisory period)."
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"Acceptable Activities. The trainee’s primary focus should be on acquiring the skills necessary"
"to demonstrate competence of relevant tasks on the appropriate BACB Task List and the skills"
"necessary to interact effectively with consumers, supervisors, families, and others."
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"The supervisor will be responsible for determining whether activities qualify for accruing fieldwork"
"hours consistent with the requirements in this document."
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"Trainees are strongly encouraged to have multiple experiences (e.g., different settings, populations)"
"with multiple supervisors and from each of the areas of activity below:"
"• Conducting assessments related to the need for behavioral intervention or for"
"6                                         evaluating behavioral interventions (e.g., stimulus preference assessment, functional"
"assessment, staff performance assessment)"
"• Designing, implementing, and systematically monitoring skill-acquisition and behavior-"
"reduction programs"
"• Writing behavior/treatment plans, progress summaries, clinical notes, transition"
"summaries, and professional correspondence"
"• Overseeing the implementation of behavior-analytic programs by others"
"• Training others, designing behavioral systems, and performance management"
"• Communicating and collaborating effectively with caregivers and other professionals"
"• Other activities normally performed by a behavior analyst that are directly related to"
"behavior analysis such as attending planning meetings regarding the behavior-analytic"
"program and researching the literature that is relevant to a current client’s programming"
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"Restricted Activities. There is a restriction on the overall amount of hours that may be spent"
"delivering therapeutic and instructional procedures during fieldwork. This restriction is designed"
"to ensure that trainees have sufficient time to acquire the other skills necessary for practice as a"
"BCBA (see Unrestricted Activities below). Restricted activities may comprise no more than 40% of"
"the total fieldwork hours (i.e., not per supervisory period). Please note that this restriction does not"
"necessarily refer to all time spent working with clients."
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"Unrestricted Activities. Activities that are unrestricted are those that are most likely to be performed"
"by a BCBA. Unrestricted activities must comprise at least 60% of the total fieldwork hours (i.e., not"
"per supervisory period). Examples of unrestricted activities include, but are not limited to:"
"• Observation and data collection"
"• Training staff and caregivers on behavior-analytic programs or content"
"• Conducting assessments related to the need for behavioral intervention"
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"Behavior Analyst Certification Board | BCBA Fieldwork Requirements                                       Updated 01/2019 Copyright © 2019, BACB®"
"                                                         BCBA FIELDWORK REQUIREMENTS"
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"• Meeting with clients about behavior-analytic programming and services"
"• Conducting behavior-analytic assessments (e.g., functional analyses, stimulus"
"preference assessments)"
"• Data graphing and analysis"
"• Researching the literature relevant to a current client’s programming"
"• Writing and revising behavior-analytic programs"
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"Unacceptable Activities. Only behavior-analytic activities may be counted toward fieldwork"
"requirements. Non-behavior-analytic activities, while valuable, may not be counted. Examples of"
"activities that will not count as fieldwork include, but are not limited to:"
"• Attending meetings with little or no behavior-analytic content"
"• Providing interventions that are not based in behavior analysis"
"• Performing nonbehavioral administrative activities"
"• Non-behavior-analytic trainings related to service delivery (e.g., crisis management, CPR,"
"billing systems)"
"• Completing nonbehavioral assessments (e.g., diagnostic assessments, intellectual"
"assessments), paperwork, documentation, billing, or any other activities that are not"
"directly related to behavior analysis"
"• Attending professional conferences, workshops, or university courses"
"• Didactic-course assignments"
"7"
"Documentation of Supervision and Fieldwork                                                                       ?"
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"Unique Documentation System. Because fieldwork varies across settings and practice areas, the"
"BACB is granting supervisors and trainees the flexibility to develop their own system for documenting"
"ongoing supervision and fieldwork in a way that demonstrates adherence to all of the requirements in"
"this document and the BACB’s ethics requirements. Documentation must include the following:"
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"Independent Hours                                   Supervised Hours"
"For each session, document:           For each contact, document:"
"•   Date                            • Date"
"•   Start Time                      • Start Time"
"•   End Time                        • End Time"
"•   Fieldwork Type                  • Format (e.g., in person, online)"
"•   Setting Name                    • Fieldwork Type"
"•   Supervisor Name                 • Supervision Type: Individual or Group"
"•   Activity Category:              • Activity Category: Restricted or Unrestricted (when"
"Restricted or Unrestricted        supervision involves observing the trainee in an activity"
"as opposed to a meeting)"
"• Summary of Supervision Activity (e.g., feedback"
"provided, task-list items discussed)"
"For each supervisory period, document:"
"• Total Hours of Individual and Group Supervision"
"• Total Number of Contacts"
"• Total Number of Observations of the Trainee with Clients"
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"Updated 01/2019 Copyright © 2019, BACB®                                            Behavior Analyst Certification Board | BCBA Fieldwork Requirements"
"       BCBA FIELDWORK REQUIREMENTS"
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"Fieldwork Forms. Supervisors and trainees are required to use two forms to verify fieldwork:"
"• Monthly Fieldwork Verification Form (Monthly-FVF) — must be submitted upon request"
"• Final Fieldwork Verification Form (Final-FVF) — must be submitted in the"
"certification application"
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"Two versions of each form are available and should be selected based upon the supervisory"
"structure (i.e., one individual supervisor; multiple supervisors at one organization). Non-BACB forms"
"will not be accepted."
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"Fieldwork Verification Form:                                                                                                                                                                                                    Fieldwork Verification Form:"
"MONTHLY                                                                               Individual Supervisor                                                                                                                                                                     FINAL                                 Individual Supervisor"
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"Instructions: Please complete one form per supervisor, per fieldwork type.                                                                                                                                     Month/Year: ______________                                                                Instructions: Please complete one form per supervisor, per fieldwork type."
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"Trainee Name: ____________________________________                                                                                              BACB Account ID: ______________                   ?                                                                                                      Trainee Name: ____________________________________                                            BACB Account ID: _____________   ? Start date: _______ End date: _______"
"Fieldwork Type (Select One):                                            Supervised Fieldwork                                         Concentrated Supervised Fieldwork                                                                                                                                 Fieldwork Type (Select One):  Supervised Fieldwork                                 Concentrated Supervised Fieldwork                                                                       Note: This form contains"
"Fieldwork Verification Form:                                                                                                                                                                                                   Fieldwork Verification Form:"
"FINAL"
"dropdown menus. If you prefer"
"Supervisor Name: ___________________________________________"
"Supervisor Qualification Type (Select One):                                                       BCBA/BCBA-D"
"MONTHLY                            Verified Instructor"
"BACB Account ID: _________________________"
"Multiple Supervisors at One Organization"
" ABPP/ABA"
"Fieldwork Hours                                                                                          Multiple Supervisors at One Organization"
"to print and manually fill out the"
"form, please write your answers"
"over the dropdown menus."
"A. Independent Hours (supervisor not present): ____________ ?"
"Fieldwork Hours (this month    only)                                                                                                                                                                                                                                                                     B. Supervised Hours (supervisor present): Please complete"
"Instructions:        ____________"
"one form"
"? per organization, per fieldwork type."
"Instructions: Please complete one form per organization, per fieldwork type.                                                                                                                                             Month/Year: ________________"
"A. Independent Hours (supervisor not present): ____________ ?                                                                                                                                                                                                                                                 Total Fieldwork Hours (add  A & B):"
"Trainee             ____________"
"Name: ____________________________________     BACB Account ID: _____________ ?                                            Start date: _______ End date: _______"
"Trainee"
"B. Supervised Hours (supervisor   Name: ____________________________________"
"present):      ____________ ?                                                                                                                        BACB Account ID: ______________           ?                                                                                                      Fieldwork Type (Select One):  Supervised Fieldwork  Concentrated Supervised Fieldwork"
"Fieldwork"
"Total Fieldwork Hours (add  A & B):Type (Select ____________"
"One):   Supervised Fieldwork                                                                                              Concentrated Supervised Fieldwork                                                                                     Supervisor Information Supervisors at the Organization"
"and Attestation"
"Supervisor Name: ___________________________"
"Supervisor Name: ___________________________________                   BACB Account ID: _______________Supervisor Name: ___________________________"
"Responsible Supervisor Name: ________________________________________________                                                                       BACB Account ID#: ______________                                                                                  BACB Account ID: ____________ Qualification: __________________"
"Supervisor and Trainee Attestation                                                                                                                                                                                                                                                                                                                                                                                      BACB Account ID: ____________ Qualification: __________________"
"Supervisor Qualification Type (Select One):  BCBA/BCBA-D  Verified Instructor                  ABPP/ABA"
"Responsible Supervisor Qualification Type (Select One):                                                                                                BCBA/BCBA-D      Verified Instructor    ABPP/ABA                                                                                                  Supervisor Name: ___________________________                                       Supervisor Name: ___________________________"
"By signing below, we hereby attest that:                                                                                                                                                                                                                                                                 Supervision Requirements Met?         Yes "
"BACB   Account   ID:No"
"____________ Qualification: __________________               BACB Account ID: ____________ Qualification: __________________"
"⊲                              Fieldwork"
"The information contained on this formHours      (this"
"is true and    month"
"correct      only)"
"to the best of our knowledge;                                                                                                                                                                                                        By signing below, I hereby attest that: Name: ___________________________"
"Supervisor                                                                         Supervisor Name: ___________________________"
"⊲      The required number of supervisory   contacts"
"A. Independent          occurred"
"Hours        during not"
"(supervisor   this present):"
"month; ____________ ?                                                                                                                                                                                                                                  BACB Account ID: ____________ Qualification: __________________                    BACB  Account    ID: ____________       Qualifi"
"⊲ Information presented on this Final Fieldwork Verification Form and the corresponding Monthly Fieldwork        Verifi cation Forms   is true and correct  tocation:"
"the __________________"
"⊲      Observation of the trainee"
"B. with  a client occurred"
"Supervised               during this"
"Hours (supervisor      supervisory period"
"present):             with a frequency"
"____________     ?    appropriate for this fieldwork type;"
"best of my knowledge. Supervisor Name: ___________________________                                          Supervisor Name: ___________________________"
"⊲      The trainee was supervised for the required amount of time for this supervisory period;                                                                                                                                                                                                                                       BACB Account ID: ____________ Qualification: __________________                    BACB Account     ID:but"
"____________"
"Total Fieldwork Hours (add A & B):                   ____________                                                                                                                                                                                                     ⊲ The trainee completed the fieldwork under my supervision in compliance with all relevant Fieldwork Requirements       including,     not limited to; Qualifi"
"the cation: __________________"
"⊲      We have read and understand the most relevant version of the Fieldwork Requirements;                                                                                                                                                                                                                 minimum number of contacts   per month,Hours"
"required amounts of unrestricted activities, required observations each month with clients, and adherence to the"
"⊲   We are only including appropriate behavior-analytic activities in our totals listed above; and"
"Fieldwork"
"BACB’s ethics requirements."
"Responsible              Supervisor    andareTrainee      Attestation                                                                                                                                                                                                                         A. Independent Hours (supervisor not present): ___________ ?"
"⊲   The fieldwork hours obtained              during this supervisory      period       otherwise    compliant with the Fieldwork Requirements.                                                                                                                                                          ⊲ I am the supervisor designated   in the signed"
"B. Supervised    Hourssupervision"
"(supervisorcontract"
"present):with this ___________"
"trainee.        ?"
"By signing below, we hereby attest that:"
"Supervisor Signature: __________________________________________________________________________ Date: ________________                                                                                                                                                                                                             Total Fieldwork Hours (add A & B): ___________"
"⊲ The information contained on this form is true and correct to the best of our knowledge;                                                                                                                                                                        Signature: _________________________________________________________________________________                                               Date: ___________________"
"⊲ All supervisors met the supervision requirements during this month;"
"Trainee Signature: _____________________________________________________________________________                                                                    Date: ________________                                                                                                                                                     Responsible Supervisor Information and Attestation"
"This document must be signed in accordance with the Acceptable Signatures Policy."
"This document must bear the signature  ⊲ The(see   required      number"
"the Acceptable    of supervisory"
"Signatures Policy) of contacts  occurred"
"the supervisor        during"
"and trainee andthis"
"mustmonth;"
"be signed by the last day of the calendar month following the                                                                                                            SUPERVISOR AND TRAINEE MUST EACH   Responsible    Supervisor"
"RETAIN A COPY    OF THISName:"
"FORM FOR_______________________________"
"AT LEAST 7 YEARS.                               BACB Account ID: _____________ Qualification: __________________"
"month of supervision.                                                                                                                                                                                                                                                                                                                               Did the responsible supervisor also provide supervision?  Yes  No"
"⊲ Observation of the trainee with a client occurred during this supervisory period with a frequency appropriate for this fieldwork type;                                                                                                                                                                     By signing below, I hereby attest that:"
"SUPERVISOR AND TRAINEE MUST EACH RETAIN A COPY OF THIS FORM FOR AT LEAST 7 YEARS."
"⊲ The trainee was supervised for the required amount of time for this supervisory period;                                                                                                                                                                                                                    ⊲ Information presented on this Final Fieldwork Verification Form and the corresponding Monthly Fieldwork Verification Forms is true and correct to the"
"⊲ | We"
"Updated 01/2019 | Copyright © 2019, BACB®         have"
"All rights      read and understand the most relevant version of the Fieldwork Requirements;"
"reserved.                                                                          Behavior Analyst Certification Board | Individual Monthly Verification Form                                                                                     Updated 01/2019 |   Copyright © 2019, BACB® | All best    of my knowledge."
"rights reserved.                                                         Behavior Analyst Certification Board | Individual Final Fieldwork Verification Form"
"⊲ We are only including appropriate behavior-analytic activities in our totals listed above; and                                                                                                                                                                                                             ⊲ The trainee completed the fieldwork in compliance with all relevant Fieldwork Requirements including, but not limited to; the minimum number of contacts"
"⊲ The fieldwork hours obtained during this supervisory period are otherwise compliant with the Fieldwork Requirements.                                                                                                                                                                                              per month, required amounts of unrestricted activities, required observations each month with clients, and adherence to the BACB’s ethics requirements."
"⊲ All supervisors met BACB supervision requirements during these fieldwork hours."
"Supervisor Signature: ___________________________________________________________________________ Date: ________________"
"⊲ I am the responsible supervisor designated in the signed supervision contract with this trainee."
"Trainee Signature: ______________________________________________________________________________ Date: ________________"
"Signature: _________________________________________________________________________________                                                   Date: __________________"
"This document must bear the signature (see the Acceptable Signatures Policy) of the responsible supervisor and trainee and 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.                                                                                                                                                                                               SUPERVISOR AND TRAINEE MUST EACH RETAIN A COPY OF THIS FORM FOR AT LEAST 7 YEARS."
"Updated 01/2019 | Copyright © 2019, BACB® | All rights reserved.                                                                                          Behavior Analyst Certification Board | Organization Monthly Verification Form                                         Updated 01/2019 | Copyright © 2019, BACB® | All rights reserved.                                             Behavior Analyst Certification Board | Organization Final Fieldwork Verification Form"
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"8                          These documents must be signed in accordance with the Acceptable Signatures Policy. 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. Both parties must retain a copy of completed fieldwork forms for at least 7 years."
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"Optional Resources"
"Supervised Fieldwork Checklist"
"Fieldwork Checklist and Tip Sheet. The Fieldwork Checklist and Tip Sheet"
"provides guidance on important tasks that should be completed prior to"
"and Tip Sheet"
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"Trainee Name: __________________________________________________________________________"
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"beginning fieldwork. The BACB strongly encourages the trainee to"
"Select the BACB credential you are pursuing:                         BCBA            BCaBA"
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"Before Starting Your Supervised Fieldwork"
"☐☐Create a Gateway Account."
"Be sure to use an email address that is not likely to change (e.g., a personal email address that is not associated"
"with a work or school account). Email will be the BACB’s primary mode of communication with you."
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"complete this checklist and share it with the responsible supervisor at each"
"Email Address Used: ________________________________ BACB Account ID#: ___________________"
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"☐☐Read and make sure you understand the Supervised Fieldwork Standards."
"☐☐Start Qualifying Coursework (you may begin accruing fieldwork hours after attending the first class meeting)."
"Coursework Start Date: ________________________"
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"fieldwork setting."
"☐☐Acquire an Appropriate Supervisor."
"Supervisor Name: ______________________________________________________________________"
"Supervisor Certification # or BACB Account ID #: _______________________________________________"
"Date Supervisor Met Supervision Requirements (see BACB Registry): ________________________________"
"Date Supervisor Originally Certified (see BACB Registry): _________________________________________"
"•    If your supervisor has been certified for less than a year, confirm that they have a consulting supervisor"
"☐☐Complete a Supervision Contract with your Supervisor."
"Date Supervision Contract Signed: ________________"
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"☐☐Develop a system for storing fieldwork-related documents."
"•    Create your unique documentation system to capture information that supports entries in the Fieldwork"
"Tracker (e.g., feedback provided, task items reviewed)."
"•    Avoid storing fieldwork documents (e.g., Monthly Fieldwork Verification Forms [M-FVFs], Final Fieldwork"
"Verification Forms [F-FVFs Fieldwork Tracker) on a computer where access could be limited (e.g., a"
"work computer)."
"☐☐Plan your fieldwork."
"•    In the table below, estimate the number of fieldwork hours you will complete each month to determine"
"how long it will take you to acquire the required hours."
"Remember: fieldwork must be completed within a five-year period."
"•    Based on the table, complete the following information to the best of your ability:"
"Start date of fieldwork: __________________"
"Number of hours you plan to accrue each month (each month you must complete a minimum of"
"20 hours and no more than 130 hours): ___________"
"Expected completion date for fieldwork: ______________"
"Expected date of submitting certification application: ______________"
"Review the relevant Supervised Fieldwork Standards that will be in effect on your application date."
"Updated 12/2018 | Copyright © 2018, BACB® | All rights reserved.             Behavior Analyst Certification Board | Supervised Fieldwork Checklist and Tip Sheet | 1"
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"Fieldwork Tracker. The Fieldwork Tracker allows the trainee to enter their"
"fieldwork and supervision hours to assess whether fieldwork requirements"
"are being met."
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"Behavior Analyst Certification Board | BCBA Fieldwork Requirements                                                                                                                                                                                                                                                                                                                                                                                     Updated 01/2019 Copyright © 2019, BACB®"
"                                                             BCBA FIELDWORK REQUIREMENTS"
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"Fieldwork Audits"
"Fieldwork is subject to audit at any time and for any reason at the discretion of the BACB. In"
"the event that a certification application is audited for fieldwork, application processing will be"
"suspended until the completion of the audit. Any fieldwork that is not in compliance with the"
"fieldwork requirements will be disqualified. Information or documentation may be requested from"
"the trainee or the supervisor during this process. Examples of when an audit may be performed"
"include, but are not limited to:"
"• Ongoing quality assurance audits"
"• Administrative appeals related to experience"
"• Disciplinary matters related to experience"
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"In the event of an audit:"
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"Submit                  BACB will"
"Request"
"Requested                  Review                         Feedback"
"Documentation"
"Documentation            Documentation"
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"The BACB will request         The appropriate parties   The BACB will review        Feedback, including"
"documentation from the        will be required to       the documentation for       necessary actions,                                           9"
"appropriate parties           submit the requested      compliance with the         related to the audit"
"via email.                    documentation within a    fieldwork requirements      will be provided to the"
"specified timeframe.      and any other applicable    relevant parties,"
"BACB requirements.          where applicable."
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"In the event of an audit, the following documentation may be requested:"
"•   Supervision contract"
"•   The trainee and supervisor’s unique records for documenting fieldwork"
"•   Monthly Fieldwork Verification Forms"
"•   The Fieldwork Tracker"
"If audited, the relevant party may be required to submit the requested documents within seven (7)"
"business days. Thus, it is strongly recommended that the trainee complete the Fieldwork Tracker as"
"fieldwork hours are being obtained, rather than entering the data retroactively."
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"Updated 01/2019 Copyright © 2019, BACB®                                                 Behavior Analyst Certification Board | BCBA Fieldwork Requirements"
"        BCBA FIELDWORK REQUIREMENTS"
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"Glossary of Terms"
"Certification Application"
"Any initial application for BACB certification (e.g., BCBA, BCaBA)."
"Client"
"Any person (or groups of people) for whom behavior-analytic services are appropriate."
"Fieldwork"
"The experiential and supervision activities one engages in as part of the eligibility requirements for"
"obtaining BCBA or BCaBA certification."
"Fieldwork Verification Forms"
"The forms used by the supervisor and trainee to document fieldwork hours each month (the Monthly"
"Fieldwork Verification Form) and at the end of fieldwork (the Final Fieldwork Verification Form). Versions"
"of the forms are provided for individual supervisors as well as organizations with multiple supervisors."
"Group Supervision"
"An interactive supervision meeting that includes no fewer than 2 and no more than 10 trainees. The"
"number of trainees in a group meeting may not exceed 10 at any time, regardless of the number of"
"BCBAs in the meeting."
"Independent Hours"
"Fieldwork hours that are accrued when a supervisor is not present."
"Qualifying Coursework"
"Coursework must come from a qualifying institution and cover the required content outlined in the"
"10"
"applicable BACB Task List and Course Content Allocation documents. Only graduate (i.e., master’s or"
"doctoral) courses where the applicant was formally enrolled and earned a passing grade (“C” or better"
"for graded courses) are acceptable."
"Responsible Supervisor"
"A supervisor who signs a BACB fieldwork verification form on behalf of an organization where multiple"
"supervisors are providing supervision for one trainee."
"Restricted Activities"
"The delivery of therapeutic or instructional procedures to a client. Note: not all time spent working with"
"a client is considered restricted. For example, a number of unrestricted activities may involve the trainee"
"working directly with a client (see “Unrestricted Activities” definition below)."
"Supervised Hours"
"Fieldwork hours that are accrued when a supervisor is present. These may include restricted or"
"unrestricted activities being observed by a supervisor, or individual or group meetings with the supervisor."
"Supervisor"
"An individual who is qualified as a supervisor (see Supervisor Qualifications) for trainees who are"
"accruing fieldwork hours towards BCBA or BCaBA certification."
"Supervisor-Trainee Contact"
"A real-time interaction between the supervisor and trainee that takes place in an individual or group"
"format and lasts at least 15 minutes."
"Trainee"
"Any individual accruing fieldwork toward fulfilling eligibility requirements for BCBA or BCaBA certification."
"Unrestricted Activities"
"Activities that are most likely to be performed by a BCBA or BCaBA, including conducting assessments,"
"staff training, developing behavior plans, among others."
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"Behavior Analyst Certification Board | BCBA Fieldwork Requirements                                       Updated 01/2019 Copyright © 2019, BACB®"
"                                          Stefanie Koehler Designs_BACB_113011                                                                BACB LOGO VECTOR MASTER FILE"
"CONTACT :: Stefanie Koehler • stefanie.m.koehler@gmail.com • 604-563-9412 • Vancouver, BC, Canada"
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"Copyright © 2019 by the Behavior Analyst Certification Board,® Inc. (“BACB®”), all rights reserved. Unauthorized reproduction, copying, or"
"transmission in any medium is strictly prohibited."
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"®The trademarks “Behavior Analyst Certification Board,® Inc.,” “BACB®.” “Board Certified Behavior Analyst®,” “BCBA®,” “Board Certified"
"Assistant Behavior Analyst®,” “BCaBA®,” and “RBT ®,” are owned by the Behavior Analyst Certification Board®. Unauthorized use or"
"misrepresentation is strictly prohibited."
""