Questionnaire: Registered Behavior Technician® (RBT®)

First and Last Name

What is your email?

1. Do you have experience working with children?

2. Have you been exposed to children with special needs?

3. What do you know about the Applied Behavior Analysis (ABA) field?

4. Where do you see yourself in 2-4 years? Do you have plans to further your education?

5. Are you authorized to work legally in the US?

6. Can you commit for 1 year of work as a RBT- Registered Behavior Technician?

7. What is your availability during weekdays? Are you available to work on Saturdays?

8. Why are you interested in a position with Behavioral Concepts?

9. Why do you want a position working in the field of ABA?

10. What your hourly/salary expectations?

11. Upon a job offer, what is your earliest available start date?

12. Is your availability subject to change?

13. Are you currently interviewing with any other agencies?

Please list your first reference:

Please list your second reference:

Please list your third reference:

Additional Comments

Please upload your resume by clicking on the following link (PDF or TXT formats):

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
Concepts.
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Questionnaire: Registered Behavior Technician® (RBT®)

Questionnaire RBT* Position

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