Job Application

Applicant Information

First Name:	Middle Name:	Last Name:
Driver's License #:	Are you 18 or older? Yes No	Can you provide proof of age? Yes No

CONTACT INFORMATION (Please include a phone number where you can most easily be reached)
Phone Number:	Email Address:

HOME ADDRESS
Street & Apartment Number:
City:	State:	Zip Code:

MAILING ADDRESS (if different from Home Address)
Street & Apartment Number:
City:	State:	Zip Code:

Position

Please indicate the position that you are interested in applying for:

Part Time Behavioral Technician (10-15 hours)
Full Time Behavioral Technician (20-30 hours)
Full-Time Behavioral Technician (30-40 hours)
Clinical Assistant*
Clinical Supervisor*

*Please speak with our staff regarding the availability and requirements for these positions.

Check All Those That Apply to You

Am a high school graduate or posses a GED and can provide a copy of my diploma. Type the name of high school, location and year of graduation:

High School: Location: Year:
Can lift 40 pounds
Able to move quickly as the children's programs often involve rapid transitions from one activity to the next (e.g., on the floor with toys to a small table and chairs)
Possess a good work ethic (e.g., punctual, complete all assigned tasks without reminders)
Able to follow directions precisely and respond well to supervision and feedback
Act with good comon sense
Multi-task (can do more than one task at a time)
Flexible and comfortable with change
Flexible and comfortable with a "fast paced" environment
Have read the description of the agency on this website?
Have completed some college coursework

I Have Read And Agree To These Terms

DRUG/ALCOHOL SCREENING--Including Use and Possession
Therapeutic Pathways/The Kendall Center is firmly committed to a safe and drug-free environment for our clients and employees. The unlawful use, possession, sale of drugs or alcohol by employees will not be tolerated. Therapeutic Pathways/The Kendall Center prohibits any employee from reporting to work, or remaining on duty, with ANY detectable level of alcohol or illicit drugs in their bodies. All applicants (including present employees applying for new positions within the agency) are offered employment contingent upon their successful passing of a drug/alcohol test. Failure to submit to such testing shall be grounds for refusal of employment. If applicants have a positive test result, Therapeutic Pathways reserves the right to immediately withdraw the offer of employment unless the applicant can provide a satisfactory explanation of the positive test, and thereafter can take and pass another drug/alcohol test. As an employee of the agency, you represent the agency. Failure to conduct yourself in a way that leads others to question your professional ability to work effectively with children with special needs may result in termination.
FINGERPRINT POLICY
In California, employees who work with children must have their fingerprints cleared through the Department of Justice and the FBI. This means that if you are hired, we will be able to review past records of arrest and convictions and will receive notification of subsequent violations during your employment with Therapeutic Pathways. Please discuss with us in advance if you have any questions about the screening and clearance policy. After a tragedy in a high school in the Sacramento area, California State Law and Education Code now require that all employees of schools and agencies that serve children be screened via fingerprinting. This means that you must be fingerprinted and that these fingerprints will be sent for review to federal and state agencies. These agencies will, in turn, report to Therapeutic Pathways any misdemeanors and felonies in your background. Before being hired at Therapeutic Pathways, your fingerprints must clear at both State and Federal levels. We require that employees be fingerprinted and screened at an agency that uses the Live Scan process.
TUBERCULOSIS (TB) TEST
The California Department of Education Code requires employees of schools or agencies to test negative for Tuberculosis before being allowed to work with children. This regulation helps reduce the spread of this disease. All behavioral technicianls must get tested. This involves not only the initial testing, but also a follow-up evaluation within several days. All test results must be negative and submitted in writing to the PATHWAYS' office. Remember:
PROCEDURES AND GUIDELINES TO PROTECT CONFIDENTIAL INFORMATION LEGAL AND ETHICAL CONSIDERATIONS
When you observe children or family members as part of your interview for the behavioral technician position, you must keep any and all information confidential. If you observe a child or family member who is known to you, or becomes known to you at a later time, you may not reveal that information to anyone else except for staff members.
If you are hired as a behavioral technician, you will receive additional training in policies and procedures related to confidentiality of employees, families, and children while at work and outside of the work setting. Therapeutic PATHWAYS is a professional agency. As an employee, your appearance and behavior represent the agency. You are responsible for maintaining the following codes of confidentiality and professionalism while providing services in a child's home, at the Kendall Center, in other educational settings, and in the community. Breaking confidentiality or engaging in unprofessional behavior will result in immediate termination. Confidentiality extends to acknowledging that a child or family is a client, is receiving, or is under consideration for receiving services. Confidentiality may be broken if child abuse is being reported. The California Welfare and Institutions Code 5328 through 5330 govern confidentiality. An intentional violation of confidentiality constitutes a cause for discipline, up to and including termination of employment. Confidentiality extends even after your employment with Therapeutic Pathways/The Kendall School ends.
CHILD AND DEPENDENT ADULT ABUSE REPORTING OBLIGATION
Section 11166 of the California Penal Code and section 15632 of the California Welfare and Institution Codes states that all health practitioners/tutors are required by state law to sign the following statement as a prerequisite to employment and to be retained by Therapeutic PATHWAYS.
Any employee who observes a child or dependent adult in his or her professional capacity or within the scope of his or her employment whom he or she knows or reasonably suspects child or adult abuse to report it immediately or as soon as practically possible to a child protective agency, adult protective service agency, or a local law office. Prepare and send a written report thereof within 36 hours of receiving the information concerning the incident.
Your supervisor and director should be notified whenever you believe that you may be required to report a suspected child or adult abuse.
As an IA, I will comply with the child and dependent adult abuse reporting requirements of California.
DRESS CODE
Therapeutic PATHWAYS, Inc./The Kendall Center is a professional agency providing services in a variety of settings. As an employee, you are required to adhere to the following dress code regulations. Failure to follow the dress code may result in reminder, warning, and/or immediate termination.

Click to Agree to Terms

Most Recent Employment

Job Title/Position:	Company:	City/State:
Work Phone:	Hourly/Salary:	Date Hired/Left:
Supervisor Name:	Supervisor Phone Number:	May we contact this person? Yes No
Reason for Leaving:

Criminal History

Have you ever been convicted of child abuse, drug abuse, or sexual misconduct? Yes No
Have you ever been convicted of any other felonies or misdemeanors? Yes No
In addition, if you checked "yes" to any of the above, please explain:

Note: The Kendall Center and Therapeutic PATHWAYS have strict policies regarding the use of substances. Employees are subject to fingerprinting as well as drug screening.

Location

We have centers in Modesto, Tracy, and Elk Grove, California. We also provide services at schools and homes in neighboring communities. Please check all locations where you are interested in working.

Availability

Although there are a few exceptions, our three daily shifts are from 9:00 am - 12:30 pm, 1 pm - 4pm and 4pm - 7pm. You may work one or all shifts on a given day. Please indicate all shifts you are available

Date available to start working:

Total number of hours you are interested in working each week: 10-15 15-20

Do you anticipate maintaining a consistent number of work hours over a minimum of 6 months? Yes No

Work schedules are revised 3 times a year in accordance with quarter and semester systems at local colleges and Universities. Please complete this schedule below to indicate your availability as of your start date.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
8AM - 12PM
12PM - 5PM
5PM - 7:30PM

College(s) Attended, Dates and Location

Name:	Location:	Dates of Enrollment:


Major:	Expected Date of B.A./B.S.:
Current GPA:	Currently enrolled in accredited college or university? Yes No

Optional: List college coursework potentially relevant to behavioral technician position below:

Dept. and Course#	College or University	Name of Course	Number of Units	Grade

*Note: If you are invited to an interview, you are encouraged to bring a recent copy of your college or university transcript.

Professional Work or College/University Reference

Reference #1
Name:	Relationship:	Contact Phone Number:
Do we have permission to contact this person? Yes No

Reference #2
Name:	Relationship:	Contact Phone Number:
Do we have permission to contact this person? Yes No

Description of Background and Motivation

Please detail relevant experience you have working with children:
What is your understanding of the behavioral technician position:
State the reason why you are applying for the behavioral technician position:
Based on your understanding of the position, please describe some qualities you have that make you suitable for the position:
Any additional comments:

Limit 300 words each

Upload a PDF File With Your Application

Select a file

PDFs only

I certify that all the information contained in this application is correct and accurate to the best of my knowledge.

Optional: HOW DID YOU LEARN ABOUT Therapeutic PATHWAYS?

Employee
College
Brochure
Newspaper Ad
Other
Please Name/Describe:

***Please Note - Individuals selected for employment will need to bring the following items prior to starting employment with The Kendall Center: Valid Driver's Licence, Current Car Insurance, TB Test Results, High School Diploma or Official Transcripts

The Kendall Center

Therapeutic Pathways

Application for Employment

Applicant Information

CONTACT INFORMATION

HOME ADDRESS

MAILING ADDRESS (if different from Home Address)