Bacb Fieldwork PDF Details

Gathering fieldwork experience is a critical step for those pursuing a career in behavior analysis, and the BACB Fieldwork and Practicum Experience Supervision Form plays a pivotal role in this journey. It serves as a standardized tool to document the supervision sessions, detailing everything from the supervisee and supervisor details to the date and duration of the supervision. The form meticulously records the hours of experience accrued, aligning with the BACB's Experience Standards. It allows for a thorough assessment by checking off various characteristics of the supervision period, which includes settings like specific client group, individual, office, on-site, remote, and video in situ client(s) privacy supervision observation. Importantly, the form also prompts for the identification of BACB task list items discussed during the session, covering crucial areas such as ethical considerations, behavior assessment, and behavior change procedures. It goes further to evaluate the supervisee's professional integrity on multiple fronts, such as punctuality, interaction quality, and responsiveness to feedback, ensuring the comprehensive assessment of the supervisee's development. Finally, it concludes with an overall evaluation of the supervisee’s performance and requires signatures from both the supervisee and supervisor, underscoring the form's role as a collaborative tool for professional development. However, it notes that this form should not be submitted with the initial exam application, emphasizing its purpose as a record-keeping and development tool rather than a direct application document.

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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