BA FEV 100/REV 04/16 FIELDWORK EXPERIENCE VERIFICATION FORM . UNDERGRADUATE CLINICAL EXPERIENCE . INSTRUCTIONS: Complete all sections of the form and submit to .

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How to fill out the CA BA FEV 100 online

Filling out the CA BA FEV 100 form is a crucial step in verifying your clinical fieldwork experience. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and submitting it to your educational institution.

Follow the steps to complete the CA BA FEV 100 online.

  1. Click the 'Get Form' button to access the CA BA FEV 100 form and open it in your preferred online editor.
  2. In the section labeled 'Applicant’s Name', enter your full name as it appears on your identification documents.
  3. Provide the name of your university or college in the designated field labeled 'University or College'.
  4. Fill in the location where your fieldwork experience was obtained. This should include the city and state.
  5. In the 'Dates of Experience' section, specify the starting month and year, and the ending month and year of your field experience.
  6. Document the total hours earned during your fieldwork experience in the 'Hours Earned' field.
  7. Calculate and enter the grand total of hours worked in the 'Grand Total' field.
  8. Read the certification statement carefully. By signing, you confirm that all information is accurate and complete according to California regulations.
  9. In the 'Name of Current Training Program Director/Coordinator' section, input the name of the director or coordinator of your training program.
  10. Fill in the date on which the current training program director or coordinator signs the form.
  11. Lastly, sign and date the form in the 'Applicant’s Signature' section to validate your submission.
  12. Once all sections are completed, save your changes, and you can choose to download, print, or share the completed form as needed.

Complete your CA BA FEV 100 form online today for a smooth verification process.

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