The EDS Clinic - Job Application

Job Application

Please complete the form below to apply for a position with us.
Name*

First NameLast Name
Current City and State

Street Address

Street Address Line 2

CityState

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

Content CreatorDoctor/PhysicianNurse PractitionerPhysician AssistantPhysical TherapistMental Health TherapistNurseOther Medical ProviderCare CoordinatorPeer Support AssociateClinic ManagerEducatorCommunity ManagerPatient Advisory BoardPatient AdvocateGeneral interestAdvisorOther
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 salary 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

Cancelof
Upload Your Resume

Cancelof
Should be Empty:

Job Application

Role(s) and Availability

For roles requiring licenses or credentials:

Why do you want to work with The EDS Clinic?