Santé Chiropractic and Wellness Centre Employment Application
Your Contact Information
First Name
*
Last Name
*
E-mail Address
*
Home Phone #
Current Address:
City, Province, Postal Code
Personal Information
Have you ever applied to work for Santé Chiropractic and Wellness Centre or for Dr. Nathalie Beauchamp before?
Yes
No
Other
Do you have any friends, relatives, or acquaintances working for Santé Chiropractic and Wellness Centre?
Yes
No
Other
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
Yes
No
If Yes, please describe the crime; state the nature of the crime(s), when and where convicted, and disposition of the case:
How would you rate your level of bilingualism in French and English?
Basic
Intermediate
Advanced
Fluent
Work Availability and Details
Are you applying for:
Regular full-time work?
Regular part-time work?
Temporary work (e.g. summer or holiday work)?
Our Clinic hours will vary from mornings, afternoons and early evenings and Saturdays. What days and times are you available to work?
Weekdays Mornings
Weekday Afternoons
Weekday Evenings
Saturday Mornings
Saturday Afternoons
How did you hear about this job opening?:
Are you able to work overtime if required?
Yes
No
Maybe
If hired, what is your anticipated available start date?
-
Month
-
Day
Year
Date
What are your salary expectations?
Back
Next
Education, Training and Experience
College / University:
Name of Institution/School:
Location of Institution/School:
Number of years completed:
Did you graduate?
Yes
No
Degree/Diploma earned:
High School:
Name of Institution/School:
Location of Institution/School:
Number of years completed:
Did you graduate?
Yes
No
Degree/Diploma earned:
Experience and Work History
Please list your Work History blow:
What unique skills would you bring to this job?
What are your interests and hobbies outside of work?
Have you seen a chiropractor before?
Yes
No
Would you be willing to learn more about Chiropractic and Wellness?
Yes
No
What makes you want to work in the Chiropractic field?
The health and wellness of our team members is vital. What is your preferred focus in health and wellness? What steps do you take to further your health and wellness?
References
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Last Name
E-mail Address
Phone
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