ATS Employment Application

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Autism Therapy Services of Moses Lake is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need a reasonable accommodation in the application process, he or she should contact a company representative.

Email *

Todays Date *

YYYY

Applicant Information

Name *

First and last name

Phone number *

Address: *

Email Address *

Birthdate: *

YYYY

Are you 18 years of age or older? *

Yes

Are you a U.S. citizen or approved to work in the United States? *

Yes

In Case of Emergency-Contact Please let us know if there is an emergency for you who we should contact. Name Phone and Relationship

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