Edit, Download, and Sign the Monthly Fieldwork Verification Form | 2023
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How do I fill this out?
To fill out this form, begin by entering the trainee's details. Then, complete the sections regarding supervised and independent hours. Finally, ensure both the supervisor and trainee sign the form before submission.
How to fill out the Monthly Fieldwork Verification Form | 2023?
1
Enter the trainee name and BACB ID number.
2
Select the fieldwork type from the dropdown menu.
3
Fill in the total hours worked and hours supervised.
4
Both trainee and supervisor must sign the form.
5
Submit the completed form as instructed.
Who needs the Monthly Fieldwork Verification Form | 2023?
1
Trainees completing their fieldwork verification.
2
Supervisors responsible for authorizing trainee hours.
3
Behavior Analysts who need to document supervision periods.
4
Institutions overseeing fieldwork compliance.
5
BACB officials reviewing fieldwork documentation.
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What are the instructions for submitting this form?
To submit the Monthly Fieldwork Verification Form, email it to the designated BACB submission address or fax it to the provided number. It must be sent by the last day of the month following the month of supervision. Make sure to keep a copy for your records and follow any additional instructions provided by your supervisor.
What are the important dates for this form in 2024 and 2025?
Ensure timely submission of the Monthly Fieldwork Verification Form by the last day of the month following the month of supervision. Deadlines are crucial for compliance with BACB standards.
What is the purpose of this form?
The purpose of the Monthly Fieldwork Verification Form is to document the supervision received by trainees in behavior analysis. It serves as an official record for both the trainee and supervisor to confirm the hours and activities undertaken. This documentation is vital for meeting certification and compliance requirements with BACB.
Tell me about this form and its components and fields line-by-line.
- 1. Trainee Name: Full name of the trainee completing the fieldwork.
- 2. BACB ID #: Unique identification number assigned to the trainee by BACB.
- 3. Month/Year: The specific month and year for the fieldwork verification.
- 4. Fieldwork Type: Dropdown selection for the type of fieldwork performed.
- 5. Supervisor Name: Full name of the supervisor overseeing the fieldwork.
- 6. Certification # / BACB ID #: Certification number or BACB ID of the supervisor.
- 7. Fieldwork Hours (this month only): Total number of hours worked in the designated month.
- 8. Supervised Hours (supervisor present): Subset of hours when the supervisor was present.
- 9. Independent Hours (supervisor not present): Hours worked independently without supervisor present.
- 10. Percent of Hours Supervised: Percentage calculation of hours supervised versus total hours.
What happens if I fail to submit this form?
Failure to submit the Monthly Fieldwork Verification Form can result in the denial of verification for your supervisory period. This may lead to complications in meeting certification requirements with BACB. Timely submission is critical to ensure that all supervision is documented appropriately.
- Certification Delays: Late submission can delay your eligibility for certification.
- Lack of Documentation: Not submitting can result in a lack of necessary records for BACB review.
- Non-Compliance Penalties: Failure to adhere to submission deadlines may incur penalties.
How do I know when to use this form?
- 1. Monthly Reporting: Use this form for submitting monthly fieldwork hours.
- 2. Supervisor Approval: Requires supervisor's confirmation of hours and activities.
- 3. Certification Compliance: Necessary for meeting BACB certification requirements.
Frequently Asked Questions
How do I fill out the Monthly Fieldwork Verification Form?
You can fill out the form by entering required details about the trainee and their hours of supervision.
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