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Supervision Form 2022
Are you providing supervision in Arkansas? Fill out the form below to have your name put on a list of supervisors in Arkansas. This list will be provided to those that email ArkABA directly looking for supervisors.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Email address
*
Your answer
BACB Number
*
Your answer
What county/counties do you practice in?
*
Your answer
Specialization/skills or areas of experience?
*
Your answer
Are willing to supervise:
*
BCaBAs
Those pursuing BCBA or BCaBA certification
Distance supervision
Required
I have passed the 8-hour required supervision training
*
Yes
No
It is okay for my name to be handed out to those looking for supervision (Answer must be "yes" to have your name included on the list)
*
Yes
No
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