• Acclaim Autism provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, religious creed, creed, religion, sex, ancestry, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

  • Position Applying For*
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  • Your Information

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  • Are You Legally Entitled to Work In the USA?*
  • Do You Have a License to Drive in the US, or Another Reliable Way to Commute to Meetings and Client Sessions?*

  • Do You Have Valid Driver Liability and Vehicle Insurance?*

  • Background Information

  • Have You Previously Applied For Employment With Acclaim Autism or Aspire Autism Inc.?*

  • Have You Ever Been Convicted of a Felony?*

  • Have You Ever Served in the Military?

  • Employment Request

  • Available for Work:*
  • If Applicable, Are You Willing to Work Overtime?

  • Work Availability

    What hours are you available to work?

  • License & Certification

  • Have You Ever Had Disciplinary Action Brought Against Any of Your Licenses and/or Certifications?

  • References

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  • Signature / Certification

  • I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize Acclaim Autism to make any necessary inquiries and investigations into my education, military, criminal or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Aclaim Autism by any of the schools, services, licensing, law enforcement and/or government agencies, certifying bodies or employers listed on this application.
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