First name*

Last name*

Email address*

Location

Phone number*

Resume*

Do you have a valid driver's license?*

Do you have your own personal reliable vehicle?*

Do you have up to date car insurance?*

Do you have a high school diploma or GED?*

Are you willing and able to crawl on the floor for play?*

Are you able to run after a client that is eloping?*

Are you comfortable working part-time hours?*

How did you hear about us? Were you referred by someone, if so please list who?*

What experience do you have working with clients with maladaptive behaviors and how did you handle it? (Ex: Hitting, Kicking, Biting, Spitting, Head-banging, Eloping)*

Human Check*