Bacb Fieldwork PDF Details

The BACB Fieldwork and Practicum Experience Supervision Form is a standardized document used to log each individual supervision session. Each entry records the supervisee name, supervisor name, session date, total hours for that session, and the type of supervision provided. Supervision settings may include individual, group, office-based, on-site, remote, or video observation.

Supervised fieldwork hours that count toward certification

BCBA candidates must complete a minimum of 2,000 supervised fieldwork hours, while BCaBA candidates must complete at least 1,000 hours. Unrestricted activities involve direct behavior analytic services with clients and must represent at least 5% of total fieldwork hours. Restricted activities cover all other approved behavior analytic tasks, including program planning, data review, and training others. The BACB experience standards define which activities count toward each category, and supervisors confirm that all logged hours meet these requirements before signing the form.

Activities and task list items documented on this form

Each supervision session must document specific BACB task list items. These activities include ethical considerations, experimental evaluation of behavior, measurement of behavior, behavior assessment, and behavior change procedures. The form also evaluates the supervisee across professional conduct areas, including arriving on time for supervision sessions, maintaining appropriate attire, responding to feedback from supervisors, and maintaining ethical standards with clients and colleagues. Supervisors rate each area as satisfactory, needs improvement, or unsatisfactory, then provide an overall performance evaluation for the session.

Related BACB supervision and experience forms

Use the BACB Experience Form to report cumulative supervised fieldwork hours when applying for the BCBA exam. The BCaBA Annual Supervision Verification Form documents ongoing supervised practice for BCaBA credential holders. For establishing the terms of the supervisory relationship, see the Supervision Agreement Form.

QuestionAnswer
Form NameBacb Fieldwork
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbacb supervision tracker, bacb fieldwork tracker excel, bacb fieldwork tracker download, bacb tracker

Form Preview Example

BACB Fieldwork and Practicum Experience Supervision Form

Supervisee:_____________________________

Supervisor:___________________________

Date:__________________________________

Time Start:____________ End:___________

This supervision session addresses the period from ____/____/____ to ____/____/____

During this period, the supervisee accrued _________ hours of experience that met the BACB’s

Experience Standards

Check appropriate characteristics of this supervision period. (check all that apply)

Specific

Client

Group

Individual

Office

On-Site

Remote

Video

In Situ

Client(s)

privacy

Supervision

Supervision

Supervision

Supervision

Supervision

Observation

Observation

Discussed

protected

 

 

 

 

 

of

of

 

 

 

 

 

 

 

supervisee

supervisee

 

 

 

 

 

 

 

 

 

Readings suggested by supervisor: _______________________________________________________

Readings discussed in supervision:_______________________________________________________

Check BACB task list items discussed in this supervision session.

__ 1: Ethical Considerations

 

__ 6: Measurement of Behavior

 

__ 2: Definition and Characteristics

 

__ 7: Displaying and Interpreting Behavioral Data

__ 3: Principles, Processes, and Concepts

 

__ 8: Selecting Intervention Outcomes & Strategies

__ 4: Behavioral Assessment

 

__ 9: Behavior Change Procedures

__ 5: Experimental Evaluation of Interventions

 

__ 10: Systems Support

 

 

 

 

 

 

Check measures of professional integrity.

S NI U N/A

Arriving on time for supervision

Maintains professional and courteous interactions with:

Clients/Consumers

Other Colleagues

Other Service Providers

Coworkers

Maintains appropriate attire & demeanor

Initiates professional self-improvement

Accepts supervisory feedback appropriately

Seeks supervision appropriately

Timely submission of written reports

Communicates effectively

Written

Oral

Demonstrates appropriate sensitivity to non-behavioral providers

Supervisee self-detects personal limitations

Supervisee self-detects professional limitations

S – satisfactory NI - needs improvement

U - unsatisfactory N/A – not applicable

Overall evaluation of supervisee performance during this period (circle one): S NI U

Supervisee signature: _________________________

Supervisor signature: _______________________

DO NOT SUBMIT THIS FORM TO THE BACB WITH YOUR INITIAL EXAM APPLICATION

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Enter the required information in the Ethical Considerations, Definition and Characteristics, Experimental Evaluation of, Measurement of Behavior, Check measures of professional, Arriving on time for supervision, S NI U NA, Clients/Consumers Other Colleagues, and Maintains appropriate attire fields.

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Fill in the Demonstrates appropriate, S = satisfactory NI = needs improvement, Overall evaluation of supervisee, Supervisee signature and Supervisor signature fields, and note the DO NOT SUBMIT THIS FORM instruction at the bottom.

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Frequently asked questions about BACB fieldwork

How many supervised fieldwork hours are required for BCBA certification?

BCBA candidates must complete a minimum of 2,000 supervised fieldwork hours before applying for the exam. At least 5% of those hours must be in unrestricted activities involving direct behavior analytic services with clients. All hours must be logged using an approved form and confirmed by a qualified BCBA supervisor.

What activities count as unrestricted supervised fieldwork?

Unrestricted activities are direct behavior analytic services provided to real clients, including individual and group programs for skill acquisition and behavior reduction. These activities must take place under direct supervision by a BCBA who meets BACB supervisor requirements. Unrestricted fieldwork hours must make up at least 5% of total supervised hours for both BCBA and BCaBA candidates.

Can supervised fieldwork be completed via remote supervision?

Yes, BACB guidelines permit some supervision hours to be completed via remote video observation, subject to client privacy requirements. The supervision form includes checkboxes for remote and video observation settings. Always check the current BACB fieldwork requirements before logging remote supervision hours to confirm they count toward your total.

For tracking cumulative totals across multiple supervision periods, see our Blank Supervision Hours Form. To record detailed session data for each client during fieldwork, use the Supervision Data Form.

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