Interest Form

Interest Form

Please fill out the following information to express your interest in potentially working with Remote Rehab Solutions Inc. now or in the future. If we have a client in your area we will contact you directly.
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred method of communication:

EmailTextPhone call
Please indicate your professional designation (if applicable):*
Location (Please indicate the city or town you live in or nearest to)*
Date of Birth*

MonthDayYear
Date
Years of Experience*
Do you have a valid license to practice your profession in Alberta? (if applicable)*

YesNoNot applicable
For our therapy assistant, kinesiology, physiotherapy, and occupational therapy positions some travel may be required. Do you have a valid drivers license and access to a reliable vehicle?*

YesNoNot applicable
Please briefly describe your previous experience (and/or attach your resume at the bottom).*
Why are you interested in this position?*
What is your ideal work scenario with Remote Rehab Solutions (casual, part time, full time, leadership opportunities, etc.)?*
Please briefly describe your availability*
What is the maximum distance you are willing to travel from your residence?*
How did you hear about Remote Rehab Solutions Inc?
By submitting this form, I hereby acknowledge that the information provided is accurate, and I consent to the collection and storage of my personal data for the purpose of being contacted for physiotherapy job opportunities with Remote Rehab Solutions Inc.*

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Upload Resume (Optional)

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