The EDS Clinic - Job Application

Job Application

Please complete the form below to apply for a position with us.
How did you hear about this role? *
How familiar are you with EDS, MCAS, and/or POTS? *

(1) Not Familiar - I haven't heard of them(2) Somewhat Familiar - I've heard of them(3) Very Familiar- I know the basic symptoms(4) Very Knowledgeable - I know symptoms and treatment optionsOther
Name*

First NameLast Name
Current City and State

Street Address

Street Address Line 2

CityState

Zip Code
Email Address*
example@example.com
Phone Number*
Format: (000) 000-0000.
LinkedIn
( Optional )
Other website or online profile
( Optional )
Role(s) and Availability
What type(s) of roles are you interested in?*

Doctor/PhysicianNurse PractitionerPhysician AssistantPhysical TherapistMental Health TherapistNurseOther Medical ProviderCare CoordinatorPeer Support AssociateClinic ManagerEducatorCommunity ManagerPatient Advisory BoardPatient AdvocateGeneral interestAdvisorContent CreatorOther
Please briefly describe your ideal role at The EDS Clinic:
How many hours per week would you be available to work (on average)?*
Optional
What are your compensation expectations for this role?
You can include a range.
Available Start Date

MonthDayYear
For roles requiring licenses or credentials:
Which credentials do you hold?
e.g. DO, APRN, MD, PA, LCSW, BCPA
In which states are you licensed?
If you have worked in a healthcare setting, please briefly describe your CLINICAL experience or knowledge as it relates to these conditions.
Why do you want to work with The EDS Clinic?

We are on a mission to help the EDS community access quality medical care. It is important that you are also dedicated to this mission. Please make sure to tell us why this mission is important to you. You can upload a cover letter or write a note in the space below.
Cover Letter
Write a cover letter in the space above or upload a document below.
Upload a Cover Letter

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Upload Your Resume

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Job Application

Role(s) and Availability

For roles requiring licenses or credentials:

Why do you want to work with The EDS Clinic?