Tell us about yourself...

Please complete the following job application to the best of your ability. You can follow up by emailing admin@bcps-autism.com if you have any questions.

Name *
Name
Phone *
Phone
Address *
Address
If hired, do you have reliable means of transportation to and from work? *
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in the U.S.? *
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *
Have you ever been convicted of a crime in the last seven years? *
IF YES: provide status/disposition of case: (Note- No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for, may however, be considered.)
Are you First Aid/CPR certified (not expired)? *
Educational Background
Please provide information regarding education and training.
Please provide the school name(s), city, and state where you attended high school.
High School Completion Date *
High School Completion Date
Please provide the school name(s), city, and state where you attended college in addition to your course of study/degree.
College Completion Date
College Completion Date
Graduation or program completion date (if applicable)
Please provide the school name(s), city, and state where you attended graduate school in addition to your course of study/degree.
Graduate School Completion Date
Graduate School Completion Date
Please provide the name(s), city, and state where you received additional training, certification or licensing. Please include the type of training, certification or license.
Additional Training Completion Date
Additional Training Completion Date
Employment History
Please provide information regarding previous employment.
Start Date *
Start Date
End Date
End Date
*if current, leave blank
Contact Number *
Contact Number
May we contact this employer as a reference? *
Start Date
Start Date
End Date
End Date
Contact Number
Contact Number
May we contact this employer as a reference?
Start Date
Start Date
End Date
End Date
Contact Number
Contact Number
May we contact this employer as a reference?
References
List two persons not related to you who have knowledge of your work performance within the last three years.
Contact Phone Number *
Contact Phone Number
Contact Phone Number *
Contact Phone Number
By checking this box, I am acknowledging that I have honestly completed this application. *