BC-ABA (Behavior Consultant) Application BC-ABA (Behavior Consultant) Application First Name(Required) Last Name(Required) Email Address(Required) Phone NumberLicensure & CredentialsAre you a Board-Certified Behavior Analyst (BCBA)?(Required) Yes No In Progress If yes, how long have you been certified as a BCBA? Less than 1 year 1-3 years 3-5 years 5+ years Are you licensed in Pennsylvania as a Behavior Specialist (LBS)?(Required) Yes No In Progress If yes, how long have you held your Behavior Specialist license? Less than 1 year 1-3 years 3-5 years 5+ years Clinical & IBHS-ABA ExperienceHow many years of experience do you have providing ABA services?(Required) Less than 1 year 1-3 years 3-5 years 5+ years Do you have experience working within IBHS-ABA services?(Required) Yes No What populations have you worked with?(Required) Early intervention (0-5) Children (6-12) Adolescents (13-18) Young adults (18-21) Select all that applyWhich service settings have you worked in?(Required) Home School Community Select all that applySupervision & Clinical SkillsDo you have experience supervising BHTs/RBTs?(Required) Yes No How comfortable are you with the following responsibilities?(Required) Conducting FBAs Developing treatment plans Writing behavior support plans Parent training School collaboration Crisis management Select all that applyLogistics & Location FitDo you currently have active clearances (within the past year)?(Required) PA Criminal Background Check PA Child Abuse Clearance FBI Fingerprints (DHS) None of the above Select all that applyAre you willing to obtain or renew any required clearances if needed?(Required) Yes No What geographic areas are you available to cover?(Required) Counties, cities, or regionsWhat zip codes or specific areas would you prefer to work in? Availability (Interview)What is your availability for an interview?(Required) Weekday afternoons Weekend mornings Flexible Select all that applyPlease list specific days/times you are available for an interview Client Availability (For Case Assignment)What days are you available to work with clients?(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Select all that applyWhat times are you typically available for client sessions?(Required) Morning (8am-12pm) Afternoon (12pm-4pm) After school (3pm-7pm) Evening (5pm-9pm) Select all that applyHow many hours per week are you looking to work?(Required) 5-10 hours 10-20 hours 20-30 hours 30+ hours When are you available to start working with clients?(Required) Immediately Within 2 weeks Within 30 days Other (specify below) Documents & ResumeUpload Your Resume / Certifications Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 10 MB, Max. files: 3. Accepted formats: PDF, DOC, DOCX, JPG, PNG (Max 10MB)Short AnswerBriefly describe your experience developing and overseeing ABA treatment plans(Required)How do you support and retain BHTs/RBTs on your cases?(Required)Why are you interested in working in IBHS-ABA services with Elle & Me?(Required)