Behavior Technician (BT) / RBT Application
This should take about 3–5 minutes to complete
Basic Information
Full Name
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First Name
Middle Name
Last Name
Email Address
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Phone Number
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Format: (000) 000-0000.
City you currently live in?
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Zip code
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Work Eligibility
Are you legally authorized to work in the United States?
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Yes
No
Will you now or in the future require sponsorship?
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Yes
No
Do you have a valid driver's license?
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Yes
No
Do you have a reliable transportation to travel between client homes?
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Yes
No
Do you have currently have active auto insurance?
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Yes
No
Are you comfortable driving between multiple client homes for sessions?
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Yes
No
Location Preferences
Help us match you with clients in your area
How far are you willing to travel?
Please Select
Up to 10 miles
Up to 20 miles
Up to 30 miles
Open to longer distances
Areas we are currently hiring in (select all you’re genuinely open to commuting to)
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San Rafael
Larkspur
Novato
Vallejo
Fairfield
Vacaville
Pinole
Hercules
Pittsburg
Sacramento (Lemon Hill)
Elk Grove
Oakland
Tracy
None of the above
Are you open to taking cases within 10 - 15 miles of your home?
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Yes
No
Your Availability
What days are you available? (select all that apply)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you available?
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Morning (9 AM - 12 PM)
Midday (12 PM - 3 PM)
After School (3 PM - 7 PM)
What type of schedule are you looking for?
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Part-time (10-20 hours/week)
Part-time (20-30 hours/week)
Full-time (34+ hours/week)
Education
What is your highest level of education?
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High School Diploma
Associate Degree
Bachelor's Degree
Master's Degree
Other
Experience
Tell us a bit about your experience and any certifications you may have
Do you have experience working with children?
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Yes
No
Do you have any previous experience in Applied Behavior Analysis (ABA)? Not required to apply.
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Yes
No
How many years of ABA experience do you have?
Less than 6 months
1 year
2 years
2 year and higher
Do you currently hold any of the following certifications?
*
Please Select
RBT (Registered Behavior Technician)
BCAT (Board Certified Autism Technician)
ABAT (Applied Behavior Analysis Technician)
None
Certification Number (if applicable)
Certification Expiration Date
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Month
-
Day
Year
Date
Upload certification (optional)
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Have you completed the 40-hour RBT training?
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Yes
No
Training Completion Date
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Month
-
Day
Year
Date
Upload 40-Hour Training Certificate
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About you
Why are you interested in this role?
Are you comfortable working in a home-based setting?
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Yes
No
Are you comfortable working with children with autism?
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Yes
No
Are you open to working with multiple clients?
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Yes
No
Start Date
When are you available to start working with clients?
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Immediately
Within 2 weeks
Within 1 month
More than 1 month
Not sure yet
Do you have any upcoming schedule changes?
Upload Your Resume
Upload Resume
*
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Final Details
Are you willing to undergo a background check and fingerprinting as required by California Law?
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Yes
No
How did you hear about us?
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Indeed
Nextdoor
Facebook
Google Search
Referred by a Behavia Therapy employee
Word of mouth
Other
Who referred you?
Please Specify
Applicant Confirmation
*
I confirm that the information I provided is accurate to the best of my knowledge.
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