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®
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Locations
Learning Center Doral
Miami Lakes
Miramar
Careers
Koala ABA Employment Application
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Please enable JavaScript in your browser to complete this form.
What is your first name?
*
What is your last name?
*
What is your email
*
What is your phone number?
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you speak, read, and write English?
*
Yes
No
Are you seeking further BACB Certifications? (e.g. BCaBA or BCBA)
*
Yes
No
Maybe
What do you use your table or smart phone for?
*
Texting, email and social media
Texting, email and social media and note taking (Word & Excel)
Same as above but with Cloud Storage (iCloud, Dropbox, ShareFile, OneDrive)
Programming, virtual machines, continuous backups, graphic design
What hours are you available?
*
Weekends only
Weekends and Monday through Friday either morning or afternoons
Monday through Friday all day
Weekends and Monday through Friday all day
Do you have reliable transportation?
*
Yes
No
How many credits are you currently taking?
*
13 or more credits
9 to 12 credits
6 to 9 credits
Below 6 credits
How long have you been in the workforce (been working)?
*
This would be my first job
I have been in the workforce for 1 to 2 years
I have been in the workforce for 2 to 4 years
I have been in the workforce for over 4 years
How did you hear about us?
*
Someone referred me
Internet
Social Media
Ads
What certification do you have?
*
RBT
BCaBA
BCBA
OTA
OTR
SLP
SLPA
None
Please answer the following questions if you have completed any EAB courses?
*
None, currently enrolled in one
One or two courses
Three to four courses
All of them
Have you ever worked in taking care of children?
*
Have not worked with children
Babysitting
Taking care of children in a professional manner
Taking care of children in a professional manner with development disabilities
Do you have a valid driver's license?
*
Yes
No
How far are you willing to travel round-trip to see a case?
*
5 miles round-trip
10 miles round-trip
15 miles round-trip
20 miles round-trip
Are you currently working at another job?
*
Working at another job for 20 hours or more
Working at another job between 10 to 20 hours
Working at another job for 10 hours or less
Currently unemployed
Do you have the ability to lift 50 pounds?
*
Yes
No
Resume (2 Years of Experience) [Must Included References from Letters]
*
RBT 40 / 8 Hours
*
Choose the documents you prefer to attach
Click Here
RBT / Analyst License
Employment Application
Local Police Record
Driver License (Color)
ACHA Background (5 years)
Social Security
Proof of legal status (Front & Back of Passport or Work Permit)
I-9
Provider Letter [Medicaid]
E-Verify
W-9 / W-4
Workers Comp
Liability Insurance [CPH & Associates or any Acceptable]
Physical Exam / TB Skin or Blood / XRAY [Any Walk-in Clinic]
Affidavit Good Moral Character [Must be Notarized for our Company]
Education Req. / High School Diploma / Naces Accredited
Group Membership Auth Form
Medicaid Non-Inst-Provider Agreement
National Provider Identifier (NPI)
Contract / Agreement
Confidentiality Agreement
DCCC (APD) [Train Florida]
HIPA (Attain) [Attain.ORG]
HIV / AIDS [any website]
Security Awareness (DCF) [Department of Children and Families]
CPR / AED / First AID [In-Person Course, Online Course Not Acceptable]
Void Check [Must be Company Info, Routing and Account]
Access to Civil Rights (DCF) [Department of Children and Families]
3 Reference Letters (Date+Signature+Phone Number) [2 Professional 1 Personal]
Zero Tolerance (APD) [Train Florida]
RBT / Analyst License
Local Police Record
ACHA Background (5 years)
Proof of legal status (Front & Back of Passport or Work Permit)
I-9
W-9 / W-4
Liability Insurance [CPH & Associates or any Acceptable]
Group Membership Auth Form
National Provider Identifier (NPI)
Affidavit Good Moral Character [Must be Notarized for our Company]
Confidentiality Agreement
HIPA (Attain) [Attain.ORG]
Security Awareness (DCF) [Department of Children and Families]
HIV / AIDS [any website]
3 Reference Letters (Date+Signature+Phone Number) [2 Professional 1 Personal]
Employment Application
Driver License (Color)
Social Security
Physical Exam / TB Skin or Blood / XRAY [Any Walk-in Clinic]
Provider Letter [Medicaid]
E-Verify
Education Req. / High School Diploma / Naces Accredited
Workers Comp
Medicaid Non-Inst-Provider Agreement
CPR / AED / First AID [In-Person Course, Online Course Not Acceptable]
Contract / Agreement
DCCC (APD) [Train Florida]
Access to Civil Rights (DCF) [Department of Children and Families]
Zero Tolerance (APD) [Train Florida]
Void Check [Must be Company Info, Routing and Account]
Apply!
