Apply for **Occupational Therapist Assistant 24/25

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Summary
Title:	**Occupational Therapist Assistant 24/25
ID:	COTA
Department:	- Special Education Providers -
Location:	Los Angeles
City:	Los Angeles
Min Salary:	35
Max Salary:	47
Salary Type:	Hourly
Length:	24-25 School Year

Resume
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Contact Information
* First Name:
Middle Initial (if applicable):
* Last Name:
Maiden Name (if applicable):
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email 1:
Email 2:
Opt-In Confirmation
	I authorize recruiters from Cross Country Education to send text messages from 8883423182 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

SpEd - QA - COTA 22

* What is your OTA license status?

	I have a current and valid Occupational Therapy Assistant license in California
	I have a current and valid Occupational Therapy Assistant license outside of California
	I have applied for my Occupational Therapy Assistant license
	I will be graduating from an accredited Occupational Therapy Assistant program in the next 6 months
	I do not have a valid credential or license

* OTA license number, or full name listed on OTA license (type "student" if you are a student):

* How much experience do you have as a school based Occupational Therapy Assistant?

* When are you available to start work?

	Current school year
	Next school year

* Have you ever had your professional license / credential suspended or revoked?

	Yes
	No

If yes, please explain:

* Have you ever been terminated from a position, resigned in lieu of termination, or had your contract not renewed?

	Yes
	No

If yes, please explain:

* Have you ever applied/worked for Cross Country Education (formerly DirectEd and Mediscan Staffing)?

	Yes
	No

* Are you interested in joining our School Talent Network? You will receive access to ongoing resources and training opportunities.

	Yes
	No

* How did you hear about us?

Name of the person who referred or contacted you:

* What is your Covid vaccination status?

References

Please Provide the names and email addresses for two professional references, Plus the name and phone number for a previous supervisor. There should be three unique references total.

* Name of professional reference #1

* Email address for professional reference #1

* Name of professional reference #2

* Email address for professional reference #2

* Name of a previous Supervisor:

* Phone number for previous supervisor:

* I certify that I am a U.S. Citizen, permanent resident, or foreign national with authorization to work in the United States.

	Yes
	No

Authorization

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):

* Date:

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

Submit

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	No school based experience
	Less than 6 months
	6 months - 1 year
	1 - 5 years
	More than 5 years

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	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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	Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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	White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races
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	Individual with a Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
	Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
	Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
	War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
	Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
	Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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