Please indicate education or training which you believe qualifies you for the position you are seeking.

High School and/or College / University and/or Technical School:

Other Training or Degrees:

Please provide a concise summary of your employment history relevant to the position you're applying for.

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize One Two Three Autism School, in collaboration with The New England Center for Children, to verify their accuracy and to obtain reference information on my work performance. I hereby release One Two Three Autism School from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer.

However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. In addition, I understand that any employment offered is contingent upon

- Evidence of valid work authorization
- Ability to successfully complete training program
- Ability to fulfill the essential functions of the job description
- Satisfactory completion of a criminal history background check