Integrity Speech Therapy Independent Contractor Application
Thank you for your interest in joining the Integrity Team. Please complete the application and if any section does not apply to you, simply write N/A in the space provided. We will contact you once we have received and reviewed your application within 72 hours to schedule an interview. If you have any immediate questions, please email us at info@integrityspeechtherapy.com
Email address *
Which position(s) are you interested in?
Your answer
How did you hear about Integrity Speech Therapy? *
Your answer
How many years of experience do you have?
Your answer
Do you have experience working with pediatric and adult patients? If no, please specify. *
Your answer
What makes you qualified for this role?
Your answer
What communication disorder is your favorite to treat & why?
Your answer
How many hours can you work weekly?
Your answer
Are you available to work on Saturdays?
How far are you willing to travel to provide treatment? (County specific or miles) *
Your answer
Describe yourself in 5 words.
Your answer
List two of your strengths and two of your weaknesses. (We are gathering information to assist you in growing as a professional.)
Your answer
We often volunteer in the community. Are you available to volunteer for Integrity Speech Therapy? *
Do you have experience with conducting presentations? *
What payment rate are you looking for hourly? *
Your answer
If we would like to interview you, what are the best days/ times for you? *
Your answer
List three professional references including email and phone number. Include your most recent employment? *
Your answer
Submit your cover letter or resume to info@integrityspeechtherapy.com *
Your answer
By electronically signing and dating below, I confirm that the information provided on this application and my resume are accurate and truthful to the best of my knowledge.  *
Your answer
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