Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name *FirstLastEmail Address *Have you completed the 40-hour RBT/ABA training? *YesNoIn ProgressHow many years of ABA experience do you have? *Less than 1 year1–2 years3–5 years5+ yearsDo you currently have the following clearances (within the past year)?PA Criminal Background CheckPA Child Abuse ClearanceFBI Fingerprints (DHS)None of the aboveSelect all that applyAre you willing to obtain or renew any required clearances if needed? *YesNoWhich service settings are you interested in?Home-based servicesSchool-based servicesCommunity-based servicesSelect all that applyWhat geographic areas are you available to work in?Counties, cities, or regionsWhat zip codes or specific areas would you prefer to work in?What age groups are you most comfortable working with?Early intervention (0–5)Children (6–12)Adolescents (13–18)Young adults (18–21)Select all that applyWhat is your availability for an interview?Weekday afternoonsWeekend morningsFlexibleSelect all that applyPlease list specific days/times you are available for an interview:What days are you available to work with clients?MondayTuesdayWednesdayThursdayFridaySaturdaySundaySelect all that applyWhat times are you typically available for client sessions?Morning (8am–12pm)Afternoon (12pm–4pm)After school (3pm–7pm)Evening (5pm–8pm)Select all that applyHow many hours per week are you looking to work?5–10 hours10–20 hours20–30 hours30+ hoursWhen are you available to start working with clients? *ImmediatelyWithin 2 weeksWithin 30 daysOther (specify below)Briefly describe your experience with ABA or working with children with behavioral needs: *Why are you interested in working in IBHS–ABA services? *MessageSubmit Application
