Questionnaire: Registered Behavior Technician® (RBT®)

Questionnaire RBT* Position

Please fill-in the form below to apply for the RBT position.

    By entering my initials in the space below, I certify that the I have answered the above questions
    and the facts are true to the best of my knowledge and belief. I also understand that, unless given with
    proper notification, changes in these answers could affect my employment opportunity with Behavioral