Apply - NEW!! Behavior Technician (Autism Services) --- Central Valley Region - Winton/Manteca/Modesto area

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Last Name *

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Address *

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How did you hear about us? *

Do you have a clean valid driver's license? *

Do you have a reliable form of transportation available to you for all working hours? *

Do you have automobile insurance? *

Desired Hourly Rate? *

Type of Employment Preferred? *

In the past year, have you ever been convicted of a felony or misdemeanor? *

Additional to English, do you speak Spanish? (This helps us know which clients you can work with) *

Other than English or Spanish, please list any other languages you speak.

Have you received a COVID-19 Vaccine? (Please note: you will need to have evidence of having completed your vaccination) *

Highest Level of Education *

Highest level of education-Other

If you attended College, what was your course of study?

Schedule to which you will commit for a minimum of three months if offered employment. Please list days and times. PLEASE NOTE: An offer of employment is based upon the schedule you enter, as you are being matched with specific client availability. *

Previous employment: Business name

Previous employment: Name of contact person

Previous employment: Contact email or phone

Professional reference: Please list the names of professional, work related references we can contact. Individuals with no prior work experience, please list any school or volunteer related references. *

I certify that all information contained within this application is true and correct *

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