Part-Time Pediatric Speech Therapist at MetroEHS Pediatric Therapy

First Name *

Preferred Name

Last Name *

Email *

Phone *

Address *

Resume *

Cover Letter

Are you currently eligible to work in the United States of America? *

Do you now or in the future require visa sponsorship to continue working in the United States? *

Are you 18 years of age or older? *

What is your highest education received? *

Are you a previous employee of MetroEHS? *

How did you hear about MetroEHS? *

What locations are you interested in working at? *

Professional Reference Name *

Professional Reference Phone Number *

Professional Reference Email *

Did a MetroEHS employee refer you to work with us? If so, please include their name here.

Please list any and all criminal convictions, including minor infractions. *

Please list any professional licenses and certifications you hold that are relevant to this position. *

Has your license ever been suspended or revoked? If yes, please provide detailed explanation of what occurred and what was learned. *

Can you perform the essential functions of this position as outlined in the job posting, with or without reasonable accommodation? *

Please indicate the status your are available. Check all that apply. *

Full-time (5 days/week)
Full-time (4 days/week)
Part-time (3 days/week)
Part-time (2 days/week)
Contingent - as needed
Temporary/Seasonal

Please indicate your schedule availability (i.e., days of the week with time range for each day). *

What is your expectation on compensation range? *

Are you currently employed? If yes, who is your current employer? *

If offered a position, how much time will you need before you can start? Or when would be your ideal start date? *

Do you have any current or previous employment contracts with non-compete clauses that would prevent you from working in a similar role at our company within a specific time frame or geographic area? *

Is there anything else you would like to share?

See all the jobs at MetroEHS Pediatric Therapy here: http://metroehs.recruiterbox.com/jobs

Application Form