Internship Application

At the Shape U facility, Interns can meet their BCBA requirements though an experience program, completely supervised, to obtain their needed requirements for Applied Behavior Analysis.  All interns must meet minumum qulaifications and comply to all hiring practices in order to be assigned any position within Shape U.

Internship Application
  1. Your Full Name:(*)
    Please provide your first, middle, and last name.
  2. Contact Phone:(*)
    Please provide your contact phone number.
  3. EMail:(*)
    Please enter your e-mail
  4. Street Address:(*)
    Please provide your street address.
  5. City:(*)
    Please provide your city.
  6. State:(*)
    Please pick a State or choose OTHER.
  7. Zip Code:(*)
    Required. If outside the U.S. just put 00000
  8. Total number of field work hours desired(*)
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  9. Hours per week desired
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  10. Internship Desired(*)
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  11. Do you need assigned clients?
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  12. Start Date Desired
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  13. End Date Desired
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  14. Position Location:(*)
    Please choose Position Location
  15. Are you eligible to work in the US?(*)
    Please make a selection
  16. Are you currently employed at The Shape?(*)
    Please make a selection
  17. List Courses Completed for Certification
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  18. Resume or CV Submit:
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  19. How did you learn about this internship opportunity?(*)








    Please select at least one source.
  20. OTHER REQUIRED DOCUMENTS: Please send the following to humanresources@shapeofbehavior.com 1. A certified copy of your transcript (send by mail or bring to interview) 2. Three (3) reference letters 3. CPR certification – Red Cross and First Aid
  21. PLEASE READ CAREFULLY and Click "I agree" to accept all terms and conditions below.
  22. I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize The Shape of Behavior to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of The Shape of Behavior serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and to comply with company and departmental regulations I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I also agree to undergo a full background check and drug testing and my employment is contingent upon passing.
  23. Todays Date
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    Agreed Date

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