BCBA Supervisor Responsibilities and Other Information

Thank you for agreeing to provide BCBA practicum supervision for a student in the Applied Behavior Analysis program at The Sage Colleges.  We appreciate your support.

This contract describes the formal relationship between the BCBA Supervisor, The Sage Colleges and the Applied Behavior Analysis clinical practicum student.  This contract covers the 12-15 week supervisory period indicated on the next page.

Note that the contract link below is only for the use of The Sage Colleges and does not replace the contract between supervisor and supervisee required by the BACB.  You and your supervisee are responsible for executing your own contract to satisfy BACB requirements for the duration of your supervision.   Review the sample supervision contracts for guidance.

BCBA’s Responsibilities to Sage and the Student

The following information is from the Behavior Analysis Certification Board (BACB).  This describes the requirements for acceptable supervision.  By signing this contract, you agree to abide by these rules.  Please visit www.bacb.com for more details.

  • The applicant’s primary focus should be on learning new behavior analytic skills related to the BACB Fourth Edition Task List.  Activities must adhere to the dimensions of applied behavior analysis identified by Baer, Wolf, and Risley (1968) in the article “Some Current Dimensions of Applied Behavior Analysis” published in the Journal of Applied Behavior Analysis.  Applicants are encouraged to have experiences in multiple sites and with multiple supervisors.

Appropriate Experience Activities

  • Conducting assessment activities related to the need for behavioral interventions.
  • Designing, implementing, and monitoring behavior analysis programs for clients.
  • Overseeing the implementation of behavior analysis programs by others.
  • Other activities normally performed by a behavior analyst that are directly related to behavior analysis such as attending planning meetings regarding the behavior analysis program, researching the literature related to the program, talking to individuals about the program; plus any additional activities related to oversight of behavioral programming such as behavior analyst supervision issues or evaluation of behavior analysts’ performance.  The supervisor will determine if activities qualify.

Examples of activities that are not appropriate as experience activities include:

  • Attending meetings with little or no behavior analytic content
  • Providing interventions that are not based in behavior analysis
  • Doing non-behavior analytic administrative activities
  • Any other activities that are not directly related to behavior analysis

Appropriate Clients:

  • Clients may be any persons for whom behavior analysis services are appropriate.  However, the applicant may not be related to the client or the client’s primary caretaker.
  • Students must work with at least five (5) different clients during the experience period.

Supervisor Qualifications:

  • During the experience period, the supervisor must be a Board Certified Behavior Analyst in good standing.
  • The supervisor may not be the applicant’s relative, subordinate or employee during the experience period.  The supervisor will not be considered an employee of the applicant if the only compensation received by the supervisor from the applicant consists of payment for supervision.
  • The supervisor must meet the BACB requirements for supervisors, including successful completion of an 8-hour BACB-approved supervision course, and the BACB-required supervision and experience module.

Contractual and Ethical Considerations:

  • The supervisor and applicant will both adhere to the BACB Guidelines for Responsible Conduct.  The parties should pay particular attention to Sections 1, 2, and 3 of the Guidelines.  Payment may be withheld from a BCBA supervisor found to be in violation of the BACB Guidelines for Responsible Conduct.
  • The BCBA supervisor or the student may decide to terminate the agreement before the expressed end date on this contract by providing the other with their intent in writing.

Nature of Supervision:

  • The student is expected to work for 17-20 hours per week at their hosting agency and may not exceed 25 hours per week.
  • Practicum allows for 7.5%-10% of the total hours to be supervised, and a supervisory period is one week.  The BCBA supervisor will be responsible for one (1) to two (2) hours of supervision per week.
  • Supervisors are expected to provide supervision consistent with the BACB requirements.
  • Supervision hours may be counted toward the total number of experience hours required.

Documentation of Supervision:

  • Supervisors are responsible for providing documentation for each supervisory period (one (1) to two (2) hours each week for 12-15 weeks) for a total of eighteen (19) hours on a BACB Fieldwork and Practicum Experience Supervision Forms provided by the BACB.
  • The BACB Fieldwork and Practicum Experience Supervision Forms will require documentation of number of hours of experience, number of supervised hours, feedback on the student’s performance, the supervisor for each supervisory period, and signatures of the applicant and supervisor.  The supervisor must review the completed feedback forms with the student.
  • The student should receive the original forms in case the BACB requests them when applying for the BCBA exam.  The supervisor and the student are responsible for retaining their copies of the forms (in event of a disagreement regarding experience, the BACB will need documentation from each party). The BACB reserves the right to request this documentation at any time following an individual’s application to take the certification exam.
  • The supervisor will be required to verify the applicant’s supervision on the Experience Verification Form that is provided within the application for examination.
  • The supervisor should provide guidance, feedback, and shaping of the application of behavioral skills to the supervisee.
  • The supervisor should provide guidance feedback, and support to the supervisee in completing activities that are part of the online practicum courses (without completing the activities for the supervisee).
  • The supervisor must use the indicated link below, by the expressed due date at the end of each semester, to verify the number of supervision hours for the current term and apply for payment (if applicable).   The practicum student is responsible for reminding the supervisor when this date is approaching.  Students will not receive a grade in practicum until their supervision hours have been documented by the supervisor.

Sage’s Responsibilities

Links

Supervisor Contract and BACB Approval Form

Verify Supervision Hours and Apply for Payment

PLEASE NOTE: verifying hours and requesting payment have been separated into two forms for your privacy.  Students will only need to have a copy of the hours submission.  WITHOUT both forms, we will not be able to issue the stipend. Payments generally take 6-8 weeks to be received.

Verify Supervision Hours Fall 2016

Apply for Payment Fall 2016
Please submit your W-9 or international ADP form using the instructions below.  Payments will not be processed without a W-9 or ADP form on file.

If you are requesting payment for the past semester,  use the links that follow. Please be sure to send an email to [email protected] We do not check for payment request for a past semester without notification.

Verify Supervision Summer 2016

Apply for Payment Summer 2016

Payment Forms

Travel Expense Form: Fill out the highlighted portions and e-mail to [email protected] if you must travel to and from the practicum site each week.

Direct Deposit: Fill out the form and attach a voided check or letter from your banking institution with routing and account numbers.  This can be emailed, as an attachment, to [email protected], faxed to Accounts Payable at 518-244-2027 or mailed to:

The Sage Colleges
Esteves School of Education
Center for Applied Behavior Analysis
65 First Street
Troy, NY 12180

W-9: One time only for U.S. residents!  Continuing supervisors (or agencies if applicable) will not need to complete this form each semester.

The W-9 must be filled out for an individual collecting the stipend or on behalf of an agency collecting the stipend that resides or operates within the United States.   Be sure to use your personal information if a person is accepted the stipend.  If a corporation is accepting the stipend, please use the company’s information and tax identification number.  To ensure privacy, the W-9 can be emailed, as an attachment, to [email protected],  faxed to Accounts Payable at 518-244-2027 or mailed to:

The Sage Colleges
Esteves School of Education
Center for Applied Behavior Analysis
65 First Street
Troy, NY 12180

Canadian ADP Payment Form :ax laws require Canadian BCBA supervisors to fill out this form to receive payment.  This form only needs to be completed one time, unless your information needs to be updated.  Please review this example before completing the form. We recommend choosing the direct deposit option, as this will ensure your payment is received as quickly as possible.  Remember to send a voided cheque along with your ADP form.

To ensure privacy, the ADP form can be emailed, as an attachment, to [email protected] or mailed to:

The Sage Colleges
Esteves School of Education
Center for Applied Behavior Analysis
65 First Street
Troy, NY 12180

Those requesting payments be sent to the hosting agency may be asked to provide specific company information on company letterhead.

Residents of Countries other than the U.S. and Canada: BCBA Supervisors who are citizens of a country other than the United States or Canada and personally accepting the stipend will also need to fill out an ADP Payment form to comply with tax laws.  Please contact the ABA office at [email protected] so that we may work with ADP to file the necessary paperwork.  Those requesting payments be sent to the hosting agency may be asked to provide specific company information on company letterhead.