Follow the steps to successfully fill out the MA4 BACB Experience Supervision Form.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Enter the name of the supervisee in the designated field. This should include the full legal name of the individual undergoing supervision.
3. Fill in the name of the supervisor in the appropriate section. Ensure the supervisor's credentials are also included if required.
4. Document the dates and durations of each supervisory meeting under the Supervisory Meeting Date(s) & Duration(s) section. Provide specific start and end dates.
5. Indicate the format of your supervisory meetings. Select all applicable formats such as individual, group, or both.
6. Record the experience hours accumulated during this supervisory period. Fill in all lines for independent experience hours, individual supervision hours, small-group supervision hours, and total hours accumulated.
7. In the Characteristics of Supervision Conducted section, check all relevant characteristics pertaining to your supervision. This includes methods of supervision and client privacy considerations.
8. List the BACB Task List skills covered during supervision. Write down the specific task numbers you discussed.
9. Rate the evaluation of the supervisee's performance across the listed criteria. Use the scale of S, NI, U, and N/A for each criterion.
10. Provide an overall evaluation of the supervisee's performance. Circle the appropriate rating based on the provided options.
11. Finally, both the supervisee and supervisor must sign and date the form in the designated areas. Ensure that all signatures are legible and accurate.
12. Once all fields are completed, save your changes. You may also choose to download, print, or share the completed form as needed.

Complete your MA4 BACB Experience Supervision Form online today for a smoother supervisory experience!