EMPLOYMENT APPLICATION
Thank you for your interest in joining Sasaki Behavioral Group (SBG)! SBG is an equal opportunity employer. Our commitment lies in cultivating a workplace that is diverse, collaborative, and values-driven. Please complete all required fields below.
APPLICANT CONTACT INFORMATION
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
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
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POSITION DETAILS
Position Applying For
*
Please Select
Behavior Interventionist / RBT
Clinical Supervisor / BCBA
Intern/Volunteer
Office Administrator
Preferred Work Schedule/Employment Status
*
Please Select
Full-time
Part-time
Either
Desired Start Date
*
-
Month
-
Day
Year
Date
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JOB-RELATED REQUIREMENTS
Are you able to lift up to 50 pounds? (Required)
*
Please Select
Yes
No
Are you able to maintain various physical postures (kneeling, squatting, crawling, sitting, and standing) for extended periods? (Required)
*
Please Select
Yes
No
Are you willing to receive an annual COVID-19 vaccination? (Required)
*
Please Select
I am willing to get vaccinated annually
I have a qualifying medical or religious exemption and will provide documentation
I am unwilling to get vaccinated
Do you possess a valid CA driver's license? (Required)
*
Please Select
Yes
No
Do you have current auto insurance in your name? (Required)
*
Please Select
Yes
No
Do you have reliable transportation to work in person in San Jose, CA? (Required)
*
Please Select
Yes
No
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EXPERIENCE & SKILLS
Please briefly describe any special skills, certifications, or relevant experience that would help you succeed in this role. (Suggested 100–200 words)
Upload your resume/CV (Required)
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APPLICANT STATEMENT & CONSENT
By submitting this application, I certify that all information provided is accurate and complete to the best of my knowledge. I understand that any false or misleading information may result in termination. I authorize SBG to verify all information and understand that employment is “at-will.”
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