CBA's Easy Pre-Employment Survey For New Applicants
Thank you for your interest in Clinical Behavior Analysis (CBA), welcome to the pre-employment survey! This brief survey provides general background information regarding the type of position you are seeking. We'll review within 2-3 business days. If further action is necessary, a CBA representative will contact you... If not, no worries, we want you to join our talent community, we have positions posted frequently. Have a great day, thank you for participating in CBA's pre-employment survey.

Quickly enter required info. below:

(a) Best contact email address
(b) Full name
(c) Phone number

This form will work in any browser. If you have an option use Google Chrome. Google forms tend to work "BEST" in the Google Chrome Browser. Any issues submit the anonymous feedback form at the very end before submitting and contact us at! We look forward to reviewing your submitted data!


CBA Cares Team

Email address *
Full Name *
Your answer
Best Contact Phone Number *
Your answer
#TheDailyBA on finding the right job!
Click the video and begin filling out the survey form!
Check your work before submitting!
We review hundreds of applicants and hire less than 5%. Contact us at if you have any issues with this form or call (502) 409-7181 for visual and/or hearing impaired assistance or any other questions.
* After completing this survey consider sending us your anonymous feedback here:
Check all position(s) listed below you are open to accepting, considering or applying for today! *
Enrolled in a verified program (ie, fieldwork, internship, practica, certification, licensure or training)? Provide as much information as possible on the program you are currently enrolled in below, if not, just list N/A. *
Your answer
I am interested in: *
What are some of your favorite things to do outside of work?
Your answer
Indicate all the population type you are MOST uncomfortable working with, listed below. *
Select one or more only if you have hesitations or would be uncomfortable working with all together.
Indicate your most preferred work schedules: *
You can select more than one if desired.
Indicate the field you are most interested in, listed below... *
I prefer to start at the following W-2 pay rate based on my experience, skill sets, training and academic accomplishments listed on my professional curriculum vitae or resume. *
Select only one option... *** CBA does not hire 1099/contractors.
Are you able to travel to your sessions and/or appointments to provide services? *
I prefer the following type of pay structure: *
I have been convicted of a crime (excluding minor traffic offenses): *
I am: *
I have: *
While seeking employment what is the most important item for you from the list below? *
If you are applying for a community-based clinical position, list every counties in Kentucky you are able to travel & provide in-home, school and community services (ie, Jefferson, Fayette, Boone, etc)... If you are not applying for that type of position, just list N/A. *
Your answer
What is CBA's Mission & 5 Core Values? *
Your answer
What statement is most true? *
Select only one option.
In a perfect world, how do you see your career 10 years from today? *
Your answer
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