Employment Application Form

Atlantis Positive Behavior Services Employment Application

Please complete the form below accurately indicating your potential and suitability to the job applying for.
Name

First NameLast Name
Position Desired
Cover letter
Please provide a cover letter for your application / resume
Resume and Files

Upload your Resume here
Cancelof
Birth Date

MonthDayYear
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?
Define other
Work Eligibility & Employment Requirements
Are you at least 18 years old?
What is your highest level of education?
If offered employment, are you able to provide proof that you are legally eligible to work in the United States?
Are you able to perform essential job functions such as lifting up to 15 pounds, using alternative seating (moving from on the floor, chair, etc), move around quickly if needed?
Do you have access to a laptop/tablet in order to complete online training, attend meetings, complete session notes, etc ?
Do you hold a valid driver's license?
Are you able to provide verification of an active auto insurance policy?
Our clients receive services for several hours at a time between 8am and 8pm. Most sessions occur in the afternoon when clients are home from school. Please list any regular commitments that may conflict with providing consistent ABA services.
NA if none
If a resume has been provided, you may skip to the References section if desired
Educational Background
Please list schools attended and degree
Work History
List all jobs, beginning with most recent.
Include: Name of employer, Contact name and information of employer, Dates of employment, Key duties, Reason for leaving, Other pertinent information
Please list any specialized training and or certifications
Include date acquired and date of expiration if applicable
We recognize multilingualism as a valuable skill. Employees who use an additional language as part of their job duties receive an additional $1 per hour when the skill is utilized. Do you speak any language(s) other than English?
Please list which language/s and proficiency level:
Basic / Conversational / Fluent / Native / Written and able to translate documentation
References

Please list at least two (2) references that are familiar with your work life. Be sure to list both methods of contact.
I, First Name Last Name, hereby authorize Atlantis Positive Behavior Services and its agents to make investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquiries connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services, or other entities provided on my employment application. Furthermore, I authorize the company and its agents to release any reference information to prospective employers who request such information for purposes of evaluating my credentials and qualifications. I acknowledge that I have read this authorization and release, fully understand it, and voluntarily agree to its provisions.
Reference
Reference
Reference
Reference
Please list your availability to schedule an interview:
Please use this space to provide any additional information
I certify that all statements given on this application are true and complete to the best of my knowledge. I understand that any statements found to be false or misleading give sufficient reason not to hire me, or if hired, can be grounds for immediate termination. I authorize Atlantis Positive Behavior Services or their representative to conduct any investigation deemed appropriate concerning my application.
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Atlantis Positive Behavior Services Employment Application

Work Eligibility & Employment Requirements

If a resume has been provided, you may skip to the References section if desired

Educational Background

Work History