APPLICATION
AGENCY
FIRST NAME *
LAST NAME *
GENDER *
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Female
LAST 4 DIGITS SOCIAL *
ADDRESS *
STATE *
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CITY *
ZIPCODE *
CELL PHONE NUMBER *
EMAIL ADDRESS *
ROLE *
SELECT ROLE
ABA
BCBA
BROKER
Counseling
EI
EVALUATOR
HCBS
LPN
ORAL TRANSLITERATOR
OT
PABA
PARA
PRIVATE
PT
SC
SPECIAL ED
ST
VT
PREFERRED AGE *
0-5
6-10
11-14
15+
Parent\Caregiver
LANGUAGE
ALBANIAN
ARABIC
ASL
BANBARA
BENGALI
CAMBODIAN
CANTONESE
CHINESE
CREOLE
DUTCH
ENGLISH
FARSI
FRENCH
FULANI
GEORGIAN
GREEK
HAITIAN
HEBREW
HINDI
ITALIAN
JAPANESE
KENDO
KOREAN
MANDARIN
NEPALI
PASHTO
PERSIAN
POLISH
PORTUGUESE
PUNJABI
RUSSIAN
SOSU
SPANISH
TAJIK
TIBETAN
TURKISH
UKRAINIAN
URDU
UZBEK
WOLOF
YIDDISH
YORUBA
ZARMA
TWI
WHAT ARE YOUR SKILLS, STRENGTHS, and INTERESTS?
Art
Baking
Biking
Bird Watching
Board Games
Chess
Childcare
Cleaning
Computers
Cooking
Crafts
Creativity
Dancing
Drama
Drums
English Language Arts
Fishing
Flute
Geography
Guitar
Hiking
History
Kriah
Life Coach
Math
Nature
Organizing
Parent Coach
Personal Training
Piano
Planting/Gardening
Problem Solving
Puzzles
Reading
Science
Self-Advocacy Training
Singing
Skating
Social Skills Training
Sports
Stargazing
Stress Management
Swimming
Time Management Training
Travel Training
Violin
Writing
Yoga
PREFERRED WEEKLY HOURS
UPLOAD RESUME
UPLOAD DIPLOMA DEGREE
Work Resume
×
Please submit a copy of your resume.
Please note the minimum qualifications for the position:
A high school diploma, high school equivalency diploma or a State Education Commencement Credential (SACC or CDOS)
Experience working with children/youth or related human service experience
Preference will be given to applicants with a bachelor’s or master’s degree plus two or more years of experience working with children/youth or related human service experience, particularly experience working with children/youth with disabilities. Experience can be paid or voluntary work.
Please ensure your qualifications are clearly delineated on your resume.
For each related experience, please include:
Name of the institution or organization
Your role/position/title
Clear timeframe – months/years in the position (MM/YYYY – MM/YYYY)
Resume File Upload
Diploma Degree
×
We accept: high school diploma, bachelor’s degree, master’s degree, etc. Please make sure to include the diploma/degree of your HIGHEST level of education.
PLEASE UPLOAD A RECENT PICTURE OF YOURSELF FOR YOUR PROFILE
WHEN ARE YOU AVAILABLE TO WORK?
ADD MORE AVAILABILITY
WORKING LOCATION
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COMPLETE BACKGROUND INFORMATION
×
Application for Employment
162-16 Union Turnpike, Suite 303
Fresh Meadows, NY 11366
Voice: (718) 264-7250
Fax: (718) 264-7922
Background Information Form
References
Name:
Phone:
Email :
Relationship:
Name:
Phone:
Email :
Relationship:
Name:
Phone:
Email :
Relationship:
Education
Name of Institution:
Level of education/degree:
Course title/major:
Date of completion:
Name of Institution:
Level of education/degree:
Course title/major:
Date of completion:
Name of Institution:
Level of education/degree:
Course title/major:
Date of completion:
Work History
Employer:
Position Title :
Supervisor Name:
Dates of Employment:
Employer:
Position Title :
Supervisor Name:
Dates of Employment:
Employer:
Position Title :
Supervisor Name:
Dates of Employment:
OTHER SKILLS, STRENGTHS AND INTERESTS
COMMENT
SUBMIT