Contingent Occupational 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 the highest level of education you have successfully completed (not including programs you are currently enrolled in or did not finish)? *

Are you a previous employee of MetroEHS? *

How did you hear about MetroEHS? *

What locations are you interested in working at? *

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. *

Have you ever been convicted of a criminal offense, including misdemeanors or felonies, or do you currently have any pending criminal charges? (Yes/No) *

If Yes (please explain), list each conviction or pending charge, including the nature of the offense and the date. (A conviction or pending charge will not automatically disqualify you from employment.)

Have you ever received a formal reprimand, disciplinary action, or had a finding of a recipient/client rights violation (including abuse, neglect, confidentiality breach, or similar) from an employer, licensing board, or oversight agency? (Yes/No) *

If Yes, please provide the date of the incident, the issuing entity (employer, licensing board, or oversight agency), and a brief description of the violation and its outcome or resolution.

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). *

This position requires punctual attendance and the ability to work the full assigned shift as scheduled. Are you able to meet these requirements? *

Do you have reliable transportation to get to and from work on a consistent basis? *

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? *

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

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