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Join Our Team

Please fill out the application below and upload your résumé.

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone *

(###)

###

####

Desired Position? *

DSP-Direct Support Professional

ABA Therapist/RBT-Registered Behavior Technician

BCBA-Board Certified Behavior Analyst

Date available for employment? *

MM

DD

YYYY

Desired Employment Status? *

Full time

Part time

Summer

Substitute

Please provide your availability:

Monday-Friday (8a-6p)

Evenings (DSPs only)

Weekends (DSPs only)

Other availability?

Are you legally qualified to work in the US? *

Yes

No

Have you ever been convicted of a crime, including misdemeanors? *

Yes

No

Highest Level of Education Completed *

High School/GED

Some College

College Degree

Master's Degree

Degree/Course of Study *

Select which certifications you currently hold:

First Aid

CPR

CPI

PCM

Mandt

Safety Care

TCI

Other

What special skills make you a good candidate for this position? *

Are you able to perform the essential functions of the position? *

Yes

No

If no, are there reasonable accommodations to allow you to perform the essential job functions?

Yes

No

Employment History (start with most recent)

1. Employer, Address, City, Zip Code *

Dates Employed *

Job Title *

Job Duties *

Reason for Leaving *

Salary (indicate hourly or yearly) *

Employer Phone Number *

(###)

###

####

Name of supervisor *

May we contact your supervisor? *

Yes

No

2. Employer, Address, City, Zip Code *

Dates Employed *

Job Title *

Job Duties *

Reason for Leaving *

Salary (indicate hourly or yearly) *

Employer Phone Number *

(###)

###

####

Name of supervisor *

May we contact your supervisor? *

Yes

No

3. Employer, Address, City, Zip Code *

Dates Employed *

Job Title *

Job Duties *

Reason for Leaving *

Salary (indicate hourly or yearly) *

Employer Phone Number *

(###)

###

####

Name of supervisor *

May we contact your supervisor? *

Yes

No

Please list the names, email addresses, and relationships of three references. *

You will be prompted to submit your résumé after completing this form.

info@mapleseedfarms.org

Hours

101 W Dupont Rd, Fort Wayne, IN 46825

(260) 489-1774