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.
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.
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.
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.
| Question | Answer |
|---|---|
| Form Name | Bacb Fieldwork |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | bacb supervision tracker, bacb fieldwork tracker excel, bacb fieldwork tracker download, bacb tracker |