Member Introduction

1
What is your name?* This field is required.
First Name
Last Name
2
What is your email address?* This field is required.
example@example.com
3
What is your phone number?* This field is required.
4
What is your LinkedIn?You can skip this if you do not have a LinkedIn
5
Please upload your CV here.This is not mandatory
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Max. file size: 10.6MB
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6
How many years have you been practicing as an Respiratory therapist or Sleep Technician* This field is required.
7
In a paragraph tell me a bit about your clinical experience* This field is required.What kind of work you've done and how that relates to sleep and can be helpful at Empower Sleep
Huge
Large
Normal
Small
Ok
Ok
8
How many years of experience do you have providing care via telemedicine if any?* This field is required.
9
Do you have prior experience working with a digital healthcare company or startup?* This field is required.We're excited to learn more!
YESNO
10
In this video tell us about yourself and why you are interested in Empower Sleep?In the absence of this video your application will not be considered* This field is required.Enter the url a 1- 3-minute unlisted (not private) YouTube video. Keep it simple and be yourself
Enter YouTube URL of an unlisted (not private) video.
11
Tell us about yourself and why you are interested in Empower Sleep?* This field is required.Upload a video recording, no longer than 1 minute. Please keep it simple and be yourself!
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