Job Application Form

First Name *

Last Name *

Phone *

Email *

Date of birth

Address

Street Address *

City

State

Country

Postal code

Upload cover letter below (optional)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Please upload your resume below. *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

When is your first available start date? *

If you could only ever treat 1 specific problem for the rest of your life, what would it be and why? *

For the following prompts, please rate your confidence level on a scale of 1-5. Please answer truthfully, we seek to empower your strengths and train your weaknesses.
1 = Not confident
2 = Minimal confidence

3 = Neutral

4 = Moderate confidence

5 = Extremely confident

Treating Sports / General orthopedics conditions *

Treating Geriatrics / Balance *

Treating Neurological Conditions *

Cervical Joint Mobilizations *

Thoracic Mobilizations *

Lumbar Joint Mobilizations *

Soft Tissue Mobiliation *

Dry Needling *

Cupping *

Assisted Stretching *

Clinical Knowledge Assessment

The following topics are commonly asked by our clients. Please provide your understanding of these topics in detail.

Please explain when you would use ice ore heat during the recovery process. *

How does dry needling work? *

How does cupping work? *

What is good posture and is it really important? *

When is stretching appropriate? when is it not? *

Case Studies

For the following case studies please list:

1) Your hypothesized diagnosis.

2) What pathologies would you want to rule out.
3) How you would conduct the evaluation to confirm.

4) Assuming your hypothesis is correct, describe a typical treatment session.
5) Provide your 3 favorite exercises to treat this pathology.

Case Study 1:

A 45-year-old male presents with neck pain, tingling, and numbness radiating down his right arm. He reports that the symptoms worsen with prolonged sitting and lifting objects overhead. *

Case Study 2:

A 30-year-old female athlete presents with pain and swelling at the Achilles tendon after a sudden increase in running mileage. She is experiencing pain with running, especially during the push-off phase. *

Case Study 3:

A 50-year-old male presents with shoulder pain that worsens with overhead activities and reaching behind his back. He reports difficulty sleeping due to shoulder pain. *

Thank you for completing this form! Here’s what you can expect next:

Review: We’ll promptly review your responses.
Phone Call: If your qualifications align, we’ll reach out for a phone interview.
Skills Evaluation: Next, we’ll assess your clinical skills.
Offer: If everything checks out, we’ll extend a contract offer.
Onboarding: Finally, we’ll guide you through the hiring and onboarding process.

We look forward to connecting with you soon!

Please check the box below

I agree to terms & conditions provided by the company. By providing my contact information, I agree to receive communication from the business via all provided channels.