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 
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Email *
Which position(s) are you interested in?
How did you hear about Integrity Speech Therapy? *
How many years of experience do you have?
Do you have experience working with pediatric and adult patients? If no, please specify. *
What makes you qualified for this role?
What communication disorder is your favorite to treat & why?
How many hours can you work weekly?
Are you available to work on Saturdays?
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How far are you willing to travel to provide treatment? (County specific or miles) *
Describe yourself in 5 words.
List two of your strengths and two of your weaknesses. (We are gathering information to assist you in growing as a professional.)
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? *
If we would like to interview you, what are the best days/ times for you? *
List three professional references including email and phone number. Include your most recent employment? *
Submit your cover letter or resume to info@integrityspeechtherapy.com *
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.                                                              *
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