Apply for Occupational Therapy Assistant (COTA)

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Summary
Title:	Occupational Therapy Assistant (COTA)
ID:	COTA 2/3 LA
Department:	- Special Education Providers -
Location:	Los Angeles
City:	Los Angeles
Min Salary:	35
Max Salary:	43
Salary Type:	Hourly
Length:	25-26 School Year

Resume
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Contact Information
* First Name:
Middle Initial (if applicable):
* Last Name:
Maiden Name (if applicable):
* Address 1:
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* City:
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* Email 1:
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	By submitting this application, I consent to receive SMS updates from Cross Country Education at 8883423182 regarding my employment application. My information will not be shared or used for any other purposes. This application is powered by ApplicantStack on behalf of Cross Country Education. SMS messages will only be sent by Cross Country Education and are used exclusively for hiring-related communications when you have subscribed to receive SMS communications.
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SpEd - General Questions

* What is your credential/license status?

	I have a current and valid credential/license
	I have applied for my credential/license
	I will be graduating from an accredited program in the next 6 months
	I do not have a valid credential or license

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

* 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:

How did you hear about us?

Name of the person who referred or contacted you:

References

Please provide the names and email addresses of two professional references from the past three years, along with the name and phone number of your current supervisor within education. There should be three unique references total.

We will only reach out to your provided references in the event that you are extended an offer for the position.

Name of most current supervisor in education:

Phone number for most current supervisor:

Name of current professional reference (previous 3 years) #1

Email address for professional reference #1

Name of current professional reference (previous 3 years) #2

Email address for professional reference #2

* 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.

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