Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • These should be completed at the start of the mentorship relationship and reviewed/updated each semester.

  • Contract signed

  • Supervision Guidelines Reviewed

  • Supervision Experience Standards reviewed

  • Supervision Planning Guide completed

  • BACB Self-Assessment given

Supervision Meetings

  • What type of supervision meeting was observed?

  • Select is remote session

  • Topic of supervision meeting identified

  • Info about topic:

  • Time given for questions by supervisee

  • Clear feedback provided to supervisee

  • Assignments uploaded and assigned in Mentorship Manager

(Bi)Weekly Paperwork

  • Notes addd at time of mentorship meeting

  • Task list items added at time of supervision

  • Feedback provided at time of supervision

  • Mentees hours reviewed for accuracy

  • Previous week's form signed at time of supervision


  • We have reviewed the results of this assessment.

  • Assessor:

  • Assessed Staff:

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