Skip to content

Events
Research Contributions
About
- Team
- Collaboration
Programs
Calendars
Admissions
Join Our Team
Donate

Events
Research Contributions
About
- Team
- Collaboration
Programs
Calendars
Admissions
Join Our Team
Donate

Search

Events
Research Contributions
About
- Team
- Collaboration
Programs
Calendars
Admissions
Join Our Team
Donate

Events
Research Contributions
About
- Team
- Collaboration
Programs
Calendars
Admissions
Join Our Team
Donate

Adult Life Skills Program Job Application

Adult Life Skills Program Job Application

Position: Life Skills Coach — Full time, Bergen County, New Jersey

Complete the application below. Your submission is sent directly to our hiring team, and every field mirrors the official application required by the Division of Developmental Disabilities.

Personal Information

Full Name

Address

City, State, ZIP Code

Phone Number

Email Address

Employment Information

Are you legally authorized to work in the United States?

Yes No

Have you ever been employed by the Division of Developmental Disabilities before?

Yes No

If yes, please provide the position and dates

Are you currently employed?

Yes No

Employment History

Please list your last three positions held, starting with the most recent.

Position 1 — Most Recent

Employer Name

Position

Dates of Employment

Responsibilities

Position 2

Employer Name

Position

Dates of Employment

Responsibilities

Position 3

Employer Name

Position

Dates of Employment

Responsibilities

Skills & Qualifications

Do you have experience working with individuals with developmental disabilities?

Yes No

If yes, please describe your experience

Please list any certifications or special training relevant to the position (e.g., CPR, First Aid, etc.)

References

Please provide the names and contact information for two professional references.

Reference 1

Reference Name

Relationship to You

Phone Number

Email Address

Reference 2

Reference Name

Relationship to You

Phone Number

Email Address

Criminal Background Disclosure

As part of the application process, you are required to disclose any criminal convictions. Failure to disclose required information may result in disqualification or termination.

Have you ever been convicted of a criminal offense?

Yes No

Background Check Consent

I understand that the information provided will be used for employment purposes only, and I consent to the Institute for Educational Achievement conducting a criminal background check as part of the hiring process.

Certification & Electronic Signature

Certification

I certify that the information provided in this application is true and accurate to the best of my knowledge.

Electronic Signature (type your full legal name)

Date

A non-profit educational program for children, adolescents, and adults with autism

Contact Us

381 Madison Avenue
New Milford, NJ 07646
(201) 262-3287
(201) 262-9479

Facebook Instagram X-twitter Linkedin

Quick Links

About
Programs
Admissions
Donate

About
Programs
Admissions
Donate

Additional Resources

Harassment, Intimidation, and Bullying
Testing of Lead in School Drinking Water

Harassment, Intimidation, and Bullying
Testing of Lead in School Drinking Water

Emergency Virtual or Remote Instruction Plan

Copyright © 2026 Institute for Educational Achievement

Made With ❤️ By Three Summer Creative