Sample-RBT-Trainer-Evaluation-and-Log-181218-a

RBT Trainer Evaluation and Log: 40‐hour Training Log
Enter Responsible Trainer information in the table below.
Responsible Trainer Name:
Responsible Trainer Certification #:
Responsible Trainer BACB ID #:
Date 8‐hour Training Completed
Enter information about the RBT or Applicant in the table below.
Duration of Training Date Training
Trainee Name Training Start Date Training End Date
(Days)
Certificate issued
Trainer(s) are not
related to, subordinate
to, or employed by
trainee?
Name of Assistant Trainer(s)
1 John Doe 02/01/2019 04/12/2019 70 04/12/2019 Yes Anne, John
1
2 Jane Buck 06/11/2018 04/12/2019 305 N/A Yes Anne
2
3 3
4 0
4
5 0
5
6 0
6
7 0
7
8 0
8
9 0
9
10 0
10
11 0
11
12 0
12
13 0
13
14 0
14
15 0
15
16 0
16
17 0
17
18 0
18
19 0
19
20 0
20
21 0
21
22 0
22
23 0
23
24 0
24
25 0
25
26 0
26
27 0
27
28 0
28
29 0
29
30 0
30
EXAMPLE
LOG
Notes

RBT Trainer Evaluation and Log: Assistant Trainer Performance Evaluation
Enter information about the Skills Assessment in the table below.
Skills
Assessmen t Assistan t T ra ine
r
Date
P ro cedura
l
Ne xt P rocedura
l
Mea su r t ( A ) t ( B ) ( C) emen Assessmen Skill Acquisition Behav ior Reduc ti on (D) Documenta tion and Report i ng ( E ) Profe ssiona l Conduc t and S cope o f P ract i ce ( F )
In tegr ity and Re tra ining
In teg rity
Feedback
S cheduled?
S cheduled?
Pro vided?
Note s
1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 9
10
11
12
1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5
x x x x x x x x x x x
3/18/19 Anne x x x x x x x x x x x x x x x x x x x
3/19/19 John x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
x x
Yes No 6/17/2020
No No 5/1/2019
Skills Meeting Criteria
Skills requiring additional
training
Next Integity Check
Anne 30
C3, C4, D1, E2, E4,
E5, F4,
6/17/2020
Add New Trainer
Skills Meeting Criteria
Skills requiring additional
training
Next Integrity Check
John 32 A3, A4, C4, C10, F4, 5/1/2019
EXAMPLE
LOG