Imagine Job Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
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3
Address* This field is required.
Street
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4
Phone Number* This field is required.Please enter the best number to call you.
Area Code
Phone Number
5
What position are you applying for?* This field is required.
Speech Language Pathologist
Occupational Therapist
Occupational Therapy Assistant
Physical Therapist
Physcial Therapy Assistant
Front Office Assistant
Other Administrative
6
How many years of total experience do you have in this position?* This field is required.
7
How many years of Pediatric specific experience do you have?* This field is required.
8
Are you currently and actively licensed in the state of Oklahoma?* This field is required.
YESNO
9
What employment status are you seeking?* This field is required.
Full-Time
Part-Time
Full or Part Time
Per-Diem
10
Please list any days of the weeks and times you are NOT available to work...
11
Please describe your Hobbies and Interests.
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12
How important is Continuing Education Allowance?
not the most important to me.
somewhat important to me.
extremely important to me.
13
How important is Top Pay?
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somewhat important to me.
extremely important to me.
14
How important is Medical Insurance?
not the most important to me.
somewhat important to me.
extremely important to me.
15
How important is a 401k?
not the most important to me.
somewhat important to me.
extremely important to me.
16
How important is a great work environment?
not the most important to me.
somewhat important to me.
extremely important to me.
17
How important is a performance bonus?
not the most important to me.
somewhat important to me.
extremely important to me.
18
How important is company provided personal training?
not the most important to me.
somewhat important to me.
extremely important to me.
19
How important is paid time off (vacation pay)?
not the most important to me.
somewhat important to me.
extremely important to me.
20
How important is a sign-on bonus?
not the most important to me.
somewhat important to me.
extremely important to me.
21
Why do you want to work for Imagine Pediatric Therapy?* This field is required.
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22
I would expect to earn...* This field is required.Please enter a dollar amount per hour (or range)
23
I would expect to earn the following...* This field is required.
Please enter a dollar amount or range
Per Hour (for every hour present)
Per Billable Hour (for every hour of patients treated)
Please choose the measure for the dollar amount indicated
24
Please attach your resume.
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Select files to upload
Max. file size: 10.6MB
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25
Finally, please verify that you are human!* This field is required.
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