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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied employment opportunity, an electronic skills assessment must be completed. From the skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

ClubStaffing
5901 Broken Sound Pkwy.
Suite 450
Boca Raton, Florida 33487
Fax: (561) 367-0884


Behavior Analyst Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
 
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTING
1 2 3 4
 
Preschool
 
Elementary
 
Middle School
 
High School
 
Other (enter information here)
 
Assessment
1 2 3 4
 
Assessment of Functional Living Skills (AFLS) (ages 16 and up)
 
Basic Language and Learning Skills (ABLLS-R)
 
Early Start Denver Model (ESDM)
 
Essential for Living (EFL)
 
Functional Behavior Assessment (FBA)
 
Promoting Emergence of Advanced Knowledge (PEAK)
 
Verbal Behavior- Milestones Assessment and Placement Program (VB-MAPP)
 
Treatment
1 2 3 4
 
Implementation of Behavior Intervention Plan (BIP)
 
Manage behavioral issues following school guidelines
 
Provide services/techniques for positive behavior changes
 
Support staff and families with evidenced-based methodologies
 
DOCUMENTATION SYSTEMS/METHODS
1 2 3 4
 
Track and analyze data using appropriate behavior tracking documentation system
 
Behavior Tracking Documentation Systems (e.g. Excel, ABA tracker, Behavior Tracker) (fill in the blank)
 
IEP Documentation Systems (fill in the blank)
 
SUPERVISION
1 2 3 4
 
Supervise ABA Therapists
 
Supervise BCBA Candidates
 
Supervise Registered Behavior Technicians (RBT)
 
Age Specific
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age Children
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
CERTIFICATIONS AND QUALIFICATIONS
 
BCBA Credential
 
Certified Autism Specialist
 
Autism Certificate
 
Non Violent Crisis Intervention (e.g. CPI)
 
BLS/CPR
Behavior Analyst Skills Checklist, version 1

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

© 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.