Survey Form

Full Name:

Email Address:

Phone Number:

1. How did you hear of IBH?

Indeed Handshake Job Fair Other

2. What city do you reside in?

3. What is your highest completed education?

High School Diploma Associate's Degree Bachelor's Degree Master's Degree Doctorate

4. Do you have experience working with individuals with autism or other disabilities?

Yes, less than one year Yes, more than one year No, but ready for the experience!

5. Some clients ranging from 0-99 may exhibit behaviors such as spitting, biting, and hitting; would you be comfortable working in this environment after given the proper training?

Yes No Unsure and would like more details

6. You may be exposed to unsanitary environments and various cultures and beliefs; would you be comfortable in these environments?

Yes No

7. Our peak hours are Monday through Friday from 3:00pm - 8:00pm. Can you commit to working during these hours?

Yes No

8. Are you bilingual? If so, what language(s) do you speak?

9. Do you have reliable transportation and proof of auto insurance?

Yes No

10. The pay range for the Behavior Specialist position is between $20 - $28 per hour, based on your education and experience in ABA therapy. Are you comfortable with this range?

Yes No