Employment Application
Name
*
First Name
Middle Name
Last Name
Additional Names (maiden, aliases, etc.)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
SSN
*
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Please Select
Male
Female
Race and/or Ethnicity
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Applying For
*
Please Select
RBT
BCBA
teacher
SLP
OT
administrative assistant
other
Emergency Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Relationship to Emergency Contact
*
Back
Next
Save
All Positions - Experience, Philosophy, and Resume
What skills do you bring that make you a strong fit for this role?
*
How many years of experience do you have working in educational or therapeutic settings?
*
Why do you want to work at Anniston Academy?
*
How do you align with our philosophy of inclusion, nature and play-based learning, and therapeutic integration?
*
Our school emphasizes compassion, equity, and respect. How have you lived out these values in past roles?
*
How do you support students and colleagues whose life experiences differ from your own?
*
At Anniston Academy, we strive to develop compassionate and responsible citizens. How would you contribute to this mission in your role?
*
How would you ensure that every student and family feels welcome, regardless of background or identity?
*
How do you handle situations where your personal beliefs may differ from a school’s philosophy or practices?
*
Resume
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
For Therapeutic Staff ONLY (SLP, OT, BCBA, PT)
Is your professional license active?
Yes
No
If so, please upload your license.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please describe your experience working with neurodivergent students; multi-age or inclusive classrooms; or in therapeutic or special education settings.
Describe a time you successfully collaborated with a teacher or paraprofessional to support a student’s growth.
What is your approach to parent and family communication?
Back
Next
Save
For RBTs ONLY
Are you a certified Registered Behavior Technician (RBT)?
Yes
No
If so, please upload your certification.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If no, are you willing to become certified with support from Anniston Academy? (This is a combined role of teaching assistant and RBT.)
Yes
No
Please describe your experience working with neurodivergent students; multi-age or inclusive classrooms; or in therapeutic or special education settings.
Give an example of how you collaborated with a team to support a student with high needs.
Describe how you would support a lead teacher in a multi-age classroom.
What strengths do you bring to a classroom that prioritizes relationships, regulation, and sensory-friendly environments?
How do you support emotional regulation and social development in the classroom?
Back
Next
Save
For Teachers ONLY
Teachers must hold an active Tennessee teaching license. Special education endorsement strongly preferred.
Teaching Portfolio: Please upload your portfolio or a document with a link to your portfolio website. If you do not have a teaching portfolio, you may upload samples of lesson plans, assignments, projects, etc.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What instructional models or curricula have you used and enjoyed most?
What role have you played in developing IEPs or other student support plans?
What does a trauma-informed classroom look like to you?
Do you have an active Tennessee teaching license? This is required for all classroom teachers.
Yes
No
Please list your license number and endorsements.
Please upload a copy of your teaching license.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
For Administrative Assistants ONLY
How do you handle frustrated parents, staff, or visitors?
Can you give an example of a time when you had to communicate sensitive information professionally?
Which computer programs, scheduling systems, or databases are you most comfortable using?
How experienced are you with managing email, calendars, and document organization?
How do you ensure student or staff information remains confidential?
What do you think is the most important role an administrative assistant plays in a school?
Back
Next
Save
Reference #1
Please note: References will be sent an email form immediately upon your submission. We strongly encourage you to let your references know to expect this email.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Reference (Please provide professional references only.)
*
Back
Next
Save
Reference #2
Please note: References will be sent an email form immediately upon your submission. We strongly encourage you to let your references know to expect this email.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Reference (Please provide professional references only.)
*
Back
Next
Save
Reference #3
Please note: References will be sent an email form immediately upon your submission. We strongly encourage you to let your references know to expect this email.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Reference (Please provide professional references only.)
*
Back
Next
Save
Please upload your diplomas and/or transcripts.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you had Safety Care Training? (All new employees who have not are required to attend during our next scheduled session.)
*
Yes
No
If yes, please upload your certificate of completion or documentation.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you certified in CPR and First Aid?
*
Yes
No
If yes, please upload your certificate of completion or documentation.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Available Start Date
*
-
Month
-
Day
Year
Date
Availability
*
Full Time
Part Time
Summer Programming
Uniform Shirt Size
*
Please Select
XS
S
M
L
XL
2XL
3XL
Are you open to working extended school year (summer, fall break, spring break) programs?
*
Yes
No
Are you open to working respite programs for parents (usually one weekend per month)?
*
Yes
No
Do you have reliable transportation?
*
Yes
No
Have you ever been convicted of a criminal offense?
*
Yes
No
If yes, please explain:
Is there anything else you would like us to know?
You may review our benefits packages below:
Who referred you to us? How did you learn about our program?
*
Signature
*
Save
Submit
Submit
Should be Empty: