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Job Questionnaire

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

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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?)
invoked with elderly client with the same issues like dementia
13. Are you N-CPI trained?
A. Yes
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?
B. No
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 *
12
22. Friday: Times that I am available to work *
12
23. Print Full Name: *
Tiffany GARRETT
Form Status: Approve

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Date 2024-10-30
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