Verification of Continuance in Residency

Each person in training who is registered with ACVB is to notify ACVB yearly that they are continuing to make progress in the program. This form must be completed by January 1 of each year. Failure to do so will result in removal from the list of registered trainees, removal of resident website access, and the need to re-register and submit a proposed program (for those in an Individual Behavior Residency Training Program).

ACVB Policy on the Use of “Resident”

An “ACVB Resident” is a person who has:

Registered with ACVB, and
In an ACVB-approved Institutional Residency Program
In an ACVB-approved Individual Behavior Residency Training Program

Once the person has completed their residency program, or has been notified by ACVB that their Individual Behavioral Residency Training program is complete, or dropped out of either type of program, they may no longer call themselves a “resident.”

Proper identification for business cards would be:

ACVB resident in private practice training
ACVB resident at XXX University
ACVB resident in the Military Behavioral Residency Program

PROGRAM COMPLETION
First Name *
Last Name *
Preferred Pronouns
City *
State *
Zip Code *
Daytime Phone *
Email Address *
Mentor Name
May we share your contact information with Diplomates for referral purposes? *	Yes No
We require each resident to confirm he/she is working towards successful completion of his/her program. Please accept/don't accept the following statement.
I am actively working towards the completion of my program. *	I Accept I Do Not Accept
When do you expect to have your program completed? *

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ACVB Policy on the Use of “Resident”