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Job Questionnaire

Please complete this form and submit it with your application. *Please answer all questions

1. Did someone refer you?
A. Yes
2. If yes, who?
tara
5. Do you have a smart phone and are you willing to use it for time keeping purposes?
A. Yes
6. Do you have access to a computer and are you willing to use it for work related tasks?
A. Yes
8. Are you willing to be a sub until full time or Part time work is available?
A. Yes
9. Are you willing to work in any LAUSD School?
A. Yes
11. Are you comfortable working with all of the following behaviors? (Hitting, Kicking, Yelling, Biting, Scratching, Eloping, Self- injurious behaviors?)
A. Yes
12. Explain your work experience with the following behaviors. (Hitting, Kicking, Yelling, Biting, Scratching, Eloping, Self- injurious behaviors?)
I have worked with children that have behavioral problems I lean to be patient with them so it want get that far
13. Are you N-CPI trained?
B. No
16. We provide services in the following regions within LAUSD (West LA, East LA, Central LA, South, Northeast, Southeast). Do you agree to commute to all regions within LAUSD?
A. Yes
17. Regions (preferred to work in) *
South
Availability:
18. Monday: Times that I am available to work *
9
19. Tuesday: Times that I am available to work *
9
20. Wednesday: Times that I am available to work *
9
21. Thursday: Times that I am available to work *
9
22. Friday: Times that I am available to work *
9
23. Print Full Name: *
sanai lee
Form Status: Approve

Draw Signature

Date 2024-10-30

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