Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Basics
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These should be completed at the start of the mentorship relationship and reviewed/updated each semester.
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Contract signed
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Supervision Guidelines Reviewed
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Supervision Experience Standards reviewed
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Supervision Planning Guide completed
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BACB Self-Assessment given
Supervision Meetings
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What type of supervision meeting was observed?
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Topic of supervision meeting identified
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Info about topic:
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Time given for questions by supervisee
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Clear feedback provided to supervisee
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Assignments uploaded and assigned in Mentorship Manager
(Bi)Weekly Paperwork
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Notes addd at time of mentorship meeting
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Task list items added at time of supervision
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Feedback provided at time of supervision
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Mentees hours reviewed for accuracy
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Previous week's form signed at time of supervision
Acknowledgement
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We have reviewed the results of this assessment.
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Assessor:
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Assessed Staff: