Application for Employment

Please fill out the following form to the best of your ability. You will be able to share additional information when you come in for your in-person interview. We look forward to meeting you!

Please read this Job Description (click here) prior to filling out the application.

You may request a paper copy of this application the day of your interview.

Behavior Technician Application

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

I have read the Behavior Technician Job Description & I can perform all functions of the position for which I am applying.

If unable to perform the functions of this position please explain.

When are you available to start?

Other time(s) you are available.

High School Attended (you may also enter GED if applicable)

College(s) Attended

Other educational information if applicable

If "yes" when does your certification expire?

We should already have a copy of your resume listing current/past employment. If you have any additional information you would like to share about employment please enter it below. You may also bring an updated resume to the interview if changes have occured.

Please list 3 references below. Include their Name, Phone # or email address, and your connection to this reference.

I understand that Brandis Center Inc. is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from Brandis Center Inc.. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without prior notice. Furthermore, I have been given, read, and understand the Job Description for the position for which I am applying.

Thank you for your application!