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What experience have you had working with individuals with disabilities? Please explain*

Please mark which disabilities you have experience with. ADDADHD/Hyperactivity DisorderAnxietyAsperger'sAutismBipolarCerebal PalseyCognitive ImpairmentDeafness/Hearing LossDepressionDevelopmental DelayDown SyndromeEmotional DisturbanceEpilepsyFetal Alcohol SyndromeFragile XIntermittent Explosive DisorderLearning DisabilitiesObsessive Compulsive Disorder (OCD)Oppositional Defiant DisorderParaplegia/QuadriplegiaPICAPost-Traumatic Stress Disorder (PTSD)Reactive Attachment DisorderRett SyndromeSchizophreniaSpeech and Language ImpairmentsSpina BifidaTraumatic Brain InjuryVisual Impairments

Have you ever worked or interacted with someone who displayed verbal or physical aggressive? Please explain

Are you 18 years of age or older?*

Do you have reliable transportation to get to and from work?*

Do you have a valid Driver's License?*

Do you have valid car insurance?* YesNo

What hours/shifts are you available to work?*

What trainings and certifications do you currently hold?

In what geographic area(s) of Michigan are you looking to work?*

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Certified Occupational Therapy Assistant - Part Time

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