APPLICATION FOR EMPLOYMENT
Thank you for your interest in joining our team at Waves Behavioral Solutions, LLC. Please review and complete this employment application in its entirety.
General Information
Name
*
First Name
Middle Name
Last Name
Home Telephone
*
Cell Phone
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Are you legally entitled to work in the U.S.?
*
Yes
No
Position or Type of Employment Desired
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Please Select
RBT
BCBA
Admin Assistant
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?
*
Yes
No
Hourly Rate or Salary Desired
*
Date Available to Start
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-
Month
-
Day
Year
Date
Availability
Will Accept
*
Part-Time
Full-Time
Business hours are 8am-6:30pm, with a once a month mandatory meeting at 7:30am. Please note here if you have any restrictions with these time frames:
*
Be as specific as possible with what days/times will NOT work for you, if applicable. If you have full availability please put N/A
Education and Training
What is your highest level of Education completed?
*
Please Select
GED
High School Diploma
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
College, Business School, Military (Most Recent first)
Name & Location
Dates Attended
Credits Earned
Graduate
Degree & Year
Major or Subject
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
Training/Certifications/License
Languages Read, Written or Spoken Fluently other than English
Any other special skills and additional Certifications held
Veteran Information
Most Recent
Branch of Service
Date of Entry
Date of Honorable Discharge
Background
All employees are required to pass a Level 2 Federal Background screening
Have you ever been convicted of a crime (other than a moving violation) or served time?
*
YES
NO
If you answered YES, please describe. Conviction of a crime does not automatically disqualify you from employment.
Have you been convicted, pled guilty, or pled no contest to a traffic violation (including DWI/DUI) in the past 5 years?
*
YES
NO
If you answered YES, please describe. Conviction of a traffic violation does not automatically disqualify you from employment.
How were you referred to us?
*
Indeed
Facebook
Instagram
Waves Team Member
Waves Client
Other (please specify)
If you answered "other" please specify here:
Resume and/or CV Files
Upload a File
Drag and drop files here
Choose a file
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of
Work Experience
Most recent first, include voluntary work and military experience
References
Include only individuals familiar with your work capabilities. Do not include relatives.
Reference
*
Reference
*
Reference
*
Applicants Certification of Agreement
1. I understand that I may submit a copy of my résumé or curriculum vitae (CV) and that by submitting a copy of my résumé/CV I understand that it will be used only as supporting and additional background information. A résumé/CV is not an authorized substitute for a completed employee application. 2. I understand that if I should choose to complete only a portion of the required employment application that the information submitted may not be enough information from which to base any determination on, and, as a result, my application may not receive full consideration for employment. 3. I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information. I also release Waves Behavioral Solutions, LLC from all liability that may result from making background investigations. 4. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application (or any required documents)will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. 5. I agree, if I am offered and accept a position, to conform to all existing and future workplace rules, regulations, policies, and procedures of Waves Behavioral Solutions, LLC. 6. I understand and agree that Waves Behavioral Solutions, LLC reserves the right to change any wage and hours of work, in its sole discretion, at any time as deemed necessary. 7. I understand the employment relationship will be At Will, meaning that either party can end the employment relationship at any time, and for any reason, or no reason with written notice. 8. I understand that I must submit to fingerprinting/background checks and/or medical testing as part of the process to determine my fitness for employment and hereby agree to submit to such testing. I authorize all persons, agencies, or other entities to release any information concerning my background or test results and hereby release from all liability any persons, agencies, or other entities supplying such information. I also release Waves Behavioral Solutions, LLC from all liability that may result from making such investigations. I understand that I must participate in fingerprinting/background checks, and/or medical testing prior to being offered and accepting a position with WavesBehavioral Solutions, LLC. 9. I understand that any employment offer is contingent upon my providing proof of identity and eligibility to work within theUnited States to conform with the provisions of the Immigration Reform and Control Act of 1986. 10. I understand that all programs developed as part of my job responsibilities and all materials that I am entitled to receiving as part of my employment are the property of Waves Behavioral Solutions, LLC and that I will not try to copy, use, publish, or replicate a program or any materials for personal use, business ventures, or with other businesses. I understand that if this occurs legal action will ensue against me for violating this term of my employment. I have read and reviewed the information contained in this employment application, as well as the above-mentioned statements of agreement. By signing this employment application, I certify that I understand all of the information requested and that I have provided information that is truthful, complete, and accurate.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Waves Behavioral Solutions, LLC is an Equal Employment Opportunity employer, and we do not discriminate in our hiring or employment practices. All qualified applicants will receive consideration without regard to race, color, creed, religion, national origin, age, disability, sex, or any other characteristic protected by State or Federal law.
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