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  • David Smith Job Application

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    api-318370721
    10 views4 pages
    None of your information is saved. You can now print this job application to refer to when filling out other applications. Have you previously applied for employment or been employed with us? no are you legally eligible for employment in the United States? yes which position or positions are you interested in applying for? Physical Therapist / Physical Therapist Assistant Maximum response 255 chars, approx. 5 rows of text.

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    david smith job application

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    None of your information is saved. You can now print this job application to refer to when filling out other applications. Have you previously applied for employment or been employed with us? no are you legally eligible for employment in the United States? yes which position or positions are you interested in applying for? Physical Therapist / Physical Therapist Assistant Maximum response 255 chars, approx. 5 rows of text.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    10 views4 pages

    David Smith Job Application

    Uploaded by

    api-318370721
    None of your information is saved. You can now print this job application to refer to when filling out other applications. Have you previously applied for employment or been employed with us? no are you legally eligible for employment in the United States? yes which position or positions are you interested in applying for? Physical Therapist / Physical Therapist Assistant Maximum response 255 chars, approx. 5 rows of text.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 4

    5/5/2016

    FillingOutJobApplications|ExOffenders|CAREERwiseEducation

    PracticeJobApplication

    Youhavecompletedanonlinejobapplicationform.Noneofyourinformationissaved.Youcannowprintthisjob
    applicationtorefertowhenfillingoutotherapplications.

    Printthisapplication

    Itemswithanasterisk(*)mustbecompletedtomovetotheNextstep.

    Personalcontactinformation
    Pleaseprovideallofthefollowingcontactinformation.
    *FirstName:

    David

    *LastName:

    Smith

    *Email:

    david.smith@goblins.k12.ar.us

    *Address:

    902N.LibertyStreet

    Address2:

    N/A

    *City:

    Harrison

    *State:

    AR

    *ZIPCode:

    72601
    Enteryour5digitZIPcode

    *PhoneNumber:

    1234567890
    Enteryourphonenumberusingthefollowingformat:xxxxxxxxxx

    Generalinformation
    Ananswerisrequiredforthefollowingquestions.

    *Haveyoupreviouslyappliedforemploymentorbeenemployedwithus?
    no

    Ifso,whendidyoulastapplyorworkforus? N/A

    *AreyoulegallyeligibleforemploymentintheUnitedStates?
    yes

    *Whichpositionorpositionsareyouinterestedinapplyingfor?
    PhysicalTherapist/PhysicalTherapistAssistant

    Maximumresponse255chars,approx.5rowsoftext.

    *Whatisyourexpectedsalaryrange? $50,000$100,000

    *Ifemployedinthejobforwhichyouareapplying,willyoubeworkinginthesamelocationasarelativeor
    someonethatyoulivewith?
    Yes

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    FillingOutJobApplications|ExOffenders|CAREERwiseEducation

    *Howdidyoulearnofourorganization?
    (Selectoneoftheavailablechoicesorenteradifferentvalue.)
    Relative

    IfOther,pleaseexplain: N/A

    Copyoruploadyourresumebelow
    Tocopyyourresume,saveitinrichtextformatthencopyitintotheboxbelow:
    N/A

    Uploadyourresume(optional) ChooseFile Nofilechosen

    Uploadedresumewillnotbesubmittedtoorsavedinourdatabase.

    Educationalhistory
    Highschool

    Highschoolnameandlocation:
    HarrisonHighSchool
    925GoblinDriveHarrison,Arkansas

    Diplomaearned:
    HighSchoolDiploma

    Maximumresponse255chars,approx.5rowsoftext

    College

    Collegenameandlocation:
    UniversityofSouthernCalifornia
    1UniversityofSouthernCalifornia
    LosAngeles,California
    90065/90031

    Collegemajororcourseofstudy:
    PhysicalTherapy
    Howmanyyearsofcollegedidyoucompleteatthisinstitution?
    6

    Maximumresponse255chars,approx.5rowsoftext

    Whichdegreeordiplomadidyouearnatthisinstitution?
    (Selectoneoftheavailablechoicesorenteradifferentvalue.)
    MasterofArtsorScience
    Othereducation

    Nameandlocationofschool:
    N/A

    Majororcourseofstudyatthisinstitution:
    N/A

    Maximumresponse255chars,approx.5rowsoftext

    Degreeorcertificationatthisinstitution:
    Pleaseselectresponse

    IfOther,pleaseexplain:
    N/A

    Addmoreeducation

    Otherskillsandqualifications

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    5/5/2016

    FillingOutJobApplications|ExOffenders|CAREERwiseEducation

    Otherskillsandqualifications
    Summarizeanyjobrelatedtraining,skills,licenses,certificationsand/orotherqualifications:
    2yearsinthePhysicalTherapyTrainingProgram,1
    yearasaPhysicalTherapistAssistant(trainee/job
    shadowing),and6monthsasaPhysicalTherapist
    AssistantatKaiserPermanente
    Maximumresponse255chars,approx.5rowsoftext

    Employmenthistory
    Pleasestartwithyourmostrecentemployment.Listallemployment/volunteerexperienceinthelastfiveyearsand/orthe
    threemostrecentemployers.
    Currentormostrecentemployer

    Companynameandlocationofyourcurrentor
    mostrecentemployer:

    Startdate
    (month/year): 12/1/15

    KaiserPermanente

    Enddate(month/yearifnotcurrentlyemployedatthis
    institution):

    Maximumresponse255chars,approx.5rowsoftext

    Present

    Jobdescriptionwhileatthiscompany:
    Greatlearningexperience,gaveexperienceinthe
    fieldandhelpedmetobecomeabetterPT/PTA

    Hoursperweekwhileinthisposition:
    40hours(fulltime)

    Beginningpay(pleasespecifyannualorhourly):
    Maximumresponse255chars,approx.5rowsoftext

    $28.42/hr

    Endingorcurrentpay(pleasespecifyannualorhourly):
    $35.17/hr

    Reasonforleavingthisposition:
    Searchingfornewopportunitiesandofficeof
    work.

    Maximumresponse255chars,approx.5rowsoftext

    Supervisor'sname,titleandphonenumber:
    DanielMcDang
    PhysicalTherapist
    3283299682

    Maywecontactthisemployerforemploymentverificationand
    referencepurposes?
    Yes

    Maximumresponse255chars,approx.5rowsoftext

    References
    Pleaseprovideatleasttwo(2)references.Businessreferencesarepreferredunlessyoudonothavepreviouswork
    experience.
    Reference1
    *Reference1name:

    CoachBethEarl

    *Reference1relationshiptoyou:

    Teacher

    *Reference1phonenumber(areacode
    andphone):

    8707413496

    Reference2

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    *Reference2name:

    CoachDonaldPrice

    *Reference2relationshiptoyou:

    Teacher/Coach

    *Reference2phonenumber(areacode
    andphone):

    N/A

    Reference3
    Reference3name:

    CoachGregCrow

    Reference3relationshiptoyou:

    Coach/Teacher

    Reference3phonenumber(areacodeand
    phone):

    N/A

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    Copyright2016MinnesotaStateCollegesandUniversities
    MinnesotaStateCollegesandUniversitiesisanEqualOpportunityemployerandeducator.

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