Skills Checklist

Congratulations on your decision to apply for a Travel position with Med Travelers! Before we can offer you an employment opportunity, an electronic skills assessment must be completed. From the skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

Behavior Analyst Skills Checklist

Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
Please mark your level of experience
1. No experience; requires education, training and supervision 2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent 4. Expert level; can teach/supervise others
1 2 3 4
Middle School
High School
Other (enter information here)
1 2 3 4
Assessment of Functional Living Skills (AFLS) (ages 16 and up)
Basic Language and Learning Skills (ABLLS-R)
Early Start Denver Model (ESDM)
Essential for Living (EFL)
Functional Behavior Assessment (FBA)
Promoting Emergence of Advanced Knowledge (PEAK)
Verbal Beh.-Milestones Assmt. & Placemt. Program (VB-MAPP)
1 2 3 4
Implementation of Behavior Intervention Plan (BIP)
Manage behavioral issues following school guidelines
Provide services/techniques for positive behavior changes
Support staff and families with evidenced-based methodologies
1 2 3 4
Track analyze data w/ behavior tracking documentation system
Behavior Tracking Documentation Systems
IEP Documentation Systems
1 2 3 4
Supervise ABA Therapists
Supervise BCBA Candidates
Supervise Registered Behavior Technicians (RBT)
Age Specific
1 2 3 4
School Age Children
Young/Middle Adults
Older Adults/Geriatrics
Autism Certificate
BCBA Credential
Certified Autism Specialist
Non Violent Crisis Intervention (e.g. CPI)
Other: Specify
Behavior Analyst Skills Checklist, version 2

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.