Apply for ABA Therapy Jobs | Adapt For Life Careers

Name(Required)

First Middle Last

Today's Date(Required)

Email Address(Required)

Phone(Required)

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Applying To(Required)

Position Applying For(Required)

Desired Pay(Required)

Availability(Required)

Full Time/Part Time(Required)

Full Time

Part Time

Are you a US Citizen, or do you have the legal right to remain and work permanently in the US?(Required)

Yes

Do you have adequate means of transportation to get to and from work each day?(Required)

Yes

License(s) You Currently Have (check all that apply)(Required)

Registered Behavior Technician

CPR Certified

First Aid Certified

Crisis Prevention

BCBA

License # - Registered Behavior Technician(Required)

License Expiration Date - Registered Behavior Technician(Required)

License # - CPR Certified(Required)

License Expiration Date - CPR Certified(Required)

License # - First Aid Certified(Required)

License Expiration Date - First Aid Certified(Required)

License # - Crisis Prevention(Required)

License Expiration Date - Crisis Prevention(Required)

License # - BCBA(Required)

License Expiration Date - BCBA(Required)

Have you ever had any professional certification/license revoked, suspended, limited, or not renewed in any state?(Required)

Yes

Have you every been convicted of a crime?(Required)

Yes

Please describe crime(s) in full. (Note: Conviction of a crime will not necessarily preclude your employment)(Required)

Record of Education

Name of High School(Required)

High School Graduation Date(Required)

Name of College(s)(Required)

College Major(Required)

College Graduation Date(Required)

College Degree(Required)

List Other Education: Include school name, major, graduation date and degree(Required)

Employment Record

Are you currently employed?(Required)

Yes

Current Employer's Name(Required)

Current Employment Start Date(Required)

Current Employment Position(Required)

Current Employment Starting Pay(Required)

Current Employment Ending Pay(Required)

Reason for Seeking Other Employment(Required)

Previous Employer's Name(Required)

Previous Employment Start Date(Required)

Previous Employment End Date(Required)

Previous Employment Position(Required)

Previous Employment Starting Pay(Required)

Previous Employment Ending Pay(Required)

Reason for Leaving Previous Employer(Required)

Do you have other work history?(Required)

Yes

Previous Employer's Name (2)(Required)

Previous Employment Start Date (2)(Required)

Previous Employment End Date (2)(Required)

Previous Employment Position (2)(Required)

Previous Employment Starting Pay (2)(Required)

Previous Employment Ending Pay (2)(Required)

Reason for Leaving Previous Employer (2)(Required)

Do you have any additional work history?(Required)

Yes

Additional Work History: List company name, employment start and end date, start and end pay, and reason for leaving(Required)

**Adapt For Life provides equal employment opportunities without regard to race, color, sex, citizenship, national origin, ancestry, or on the basis of age or physical or mental disability. I certify that the information in this application is true and complete for all practical purposes. Should a position be offered and later it is found that any of this information is untrue, incomplete, or misrepresented, I understand and agree that the Adapt For Life has the right to end my employment. I voluntarily give Adapt For Life the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I understand that my employment is at will and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. If employed, I will be required to complete an Employment Verification Form (I-9) and within 3 days show satisfactory evidence of identity and eligibility for employment.