Job Application

Job Application

Thank you for your interest in becoming a part of the Behavioral Learning team! Please take a moment to complete the fields below to the best of your ability; be sure to select the position for which you are applying by selecting one of the boxes below. A representative from Behavioral Learning will connect with you soon.
I am interested in the following position(s)

Trainer - Registered Behavior Technician (RBT) or DHS Provider (QIDP, Level 1 or 2)Board Certified Behavior Analyst (BCBA)Clinical Behavior Therapist (LPC/LCPC, LSW/LCSW)
View position descriptions HERE.
Name*

First NameLast Name
Preferred Pronoun
Last 4-digits of SSN:
Mailing Address

Street Address

Street Address Line 2

City

Postal / Zip Code
Email*
example@example.com
Date Of Birth
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
I am looking for BCBA supervision

YesNo
I am looking for LCPC/LCSW supervision

YesNo
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship:
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Work/Cell Phone Number

Area CodePhone Number
Emergency Medical Conditions
Doctor's Name
Doctor's Phone Number

Area CodePhone Number
Upload your current CV/resume with cover letter attached*

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Upload a copy of your current Driver's License or State ID*

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Upload a copy of your highest terminal degree (e.g., undergraduate degree)*

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If applicable, upload a copy of your professional certification (e.g., CNA, RBT, BCaBA, QIDP, Level 2)

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If applicable, upload a copy of CPR/First Aid card

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If applicable, upload a copy of Safety Care certificate

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Authorization To Send Text Messages

I authorize Behavioral Learning to send text messages to my cellular phone to convey important information relating to my supervision and client support. I understand that standard text messaging rate may apply to any messages received from Behavioral Learning. I also understand that I may revoke this permission in writing at any time. I agree not to hold Behavioral Learning liable for any electronic messaging charges or fees generated by this service.
Authorization to send/receive text messages*

I acceptI decline
Cell Phone Number

Area CodePhone Number
Initials

Clear
Authorization To Verify References

I authorize Behavioral Learning to call/email the references listed on my CV/resume attached. I understand that this is for both employment verification and competency purposes.
Authorization to verify references*

I acceptI decline
Reference 1

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Reference 2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Initials*

Clear
View our Handbook

Disclaimer - receiving and/or acknowledging a copy of this Handbook does not initiate contracted employment - this information is for information purposes.
Interested in knowing more about our organizational values and general policies? You are welcome to view our Employee Handbook. Our 2025 Employee Handbook can be found HERE.
Your Signature

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Should be Empty:

Job Application

Emergency Contact Information

Authorization To Send Text Messages

Authorization To Verify References

View our Handbook