Autism Collier Charter School Employment Application
Name
*
First Name
Last Name
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Year
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Referral
Facebook
Other (please specify)
Why are you interested in working at Autism Collier Charter School:
*
Please select the position you are applying for (select all that apply):
*
Kindergarten ESE Teacher
First Grade ESE Teacher
Second Grade ESE Teacher
Third Grade ESE Teacher
Fourth Grade ESE Teacher
Fifth Grade ESE Teacher
Sixth Grade ESE Teacher
Seventh Grade ESE Teacher
Eighth Grade ESE Teacher
Ninth Grade ESE Teacher
Tenth Grade ESE Teacher
Eleventh Grade ESE Teacher
Twelfth Grade ESE Teacher
Physical Education Teacher
Music Teacher
Art Teacher
Assistive Technology Specialist
ELL Contact
Speech Language Pathologist
Social Worker
School Counselor
Licensed Mental Health Professional
Occupational Therapist
School Psychologist
Board Certified Behavior Analyst
Behavior Specialist (non BCBA)
Registered Behavior Technician
Clinical Director
Teaching and Learning Director
Office Manager
Data Entry
Facility Manager
Receptionist
Administrative Assistant
Nutrition Services Manager
Nutrition Services Assistant
ESE Program Assistant
School Nurse
Custodian
Substitute Teacher
Substitute ESE Assistant
Substitute RBT
Current Place of Employment
Current Position
Start Date
-
Month
-
Day
Year
Date
End Date (List today's date if still employed here)
-
Month
-
Day
Year
Date
Current Salary
Current Supervisor
May we contact this employer:
Yes
No
In which of the following areas do you hold FDOE or FDOH certification?
*
Elementary Education
Exceptional Student Education
Autism Endorsement
Educational Leadership
Reading Endorsement
ESOL
PK-3
Occupational Therapy
School Psychology
Speech Language Pathology
Social Work
School Counseling
Music Education
Art Education
BCBA
BCBA-D
BCaBA
Registered Behavior Technician (RBT)
RN
LPN
None
Other
Do you hold a current CPR certification:
*
Yes
No
Do you hold a current TEACH certification:
*
Yes
No
Describe your experience working with individuals with autism. How do you adapt your teaching or support strategies to meet the unique needs of students on the spectrum?
*
Is there anything else you would like to share that highlights why you would be a great candidate for an interview?
*
Upload Resume
*
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Upload Cover Letter
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Upload Copy of FDOE or FDOH License/Certification if Applicable:
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Upload Cover Letter
Upload Copy of Teaching License if applicable:
References
Please list two (2) work references.
Reference
Reference
Autism Collier Charter School is an equal opportunity employer. It is the policy of Autism Collier Charter School not to discriminate on the basis of race, color, ethnicity, religion, national origin, age, gender, marital status, disability, genetic information, or other legally-protected classification in its employment practices.
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