To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Save time by using your Resume, LinkedIn Profile or Universal Profile to fill in many of the fields of this application form.

Select from the options below:

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Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form:
Please create your password
Passwords must be at least six(6) characters

Personal Information (please use your legal name when applying)


Phone Information


Address Information


How did you hear about us?

If you selected "Employee Referral" in the source box above please list our employees name in the "Referred By" box below.

Additional Information

Are you able to perform the essential functions of the job for which you have applied with or without accommodations?

Do you have relatives employed with TAI?

Skills (please note years of experience):

Describe other skills not listed above

Supervisory experience? Please explain.

Education History:



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Certificates and/or Licenses:


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Employment History:



Responsibilities and Duties

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Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
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References - Please list THREE professional references. These need to include current and past supervisors and one colleague who is not a relative or friend:







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Applicant Demographic Information (Equal Employment Opportunity)

Therapeutic Associates, Inc. (TAI) is an Equal Opportunity Employer. We are subject to certain federal equal employment recordkeeping requirements. In order to comply, we request your assistance to voluntarily self-identify race and ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment.

TAI is an equal opportunity employer and does not discriminate on the basis of race, gender, religion, sexual orientation, national origin, veteran status or disability in recruiting, hiring, training, assignment, compensation, promotion, or use of facilities.

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