• ALSG Clinical Independent Contractor Application

    Thank you for your interest in joining Applied Learning Solutions Group (ALSG). Please complete this application to be considered for an independent contractor clinical opportunity. Provide accurate and complete information regarding your professional qualifications, licensure, and clinical experience. Qualified applicants will be contacted regarding the next steps in our selection and credentialing process.
  • Format: (000) 000-0000.
  • What is your current level of professional licensure?*
  • How did you hear about this job opening?

  • Employment Desired

  • Date You Can Start
     - -
    2 digit month, 2 digit day, 4 digit year
  • Preferred Telehealth Schedule

  • Education

  • Skills/Qualifications:

  • Employment History

  • Most Recent Employer or Clinical Contract Experience

  • References

    Please list your references among your colleagues or supervisors.
  • Please List Your References (List At Least 3)

  • Resume (Required) Cover Letter (Optional)

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  • Send Application

  • By clicking the submit button below, I certify that all the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
  • I certify that the information provided in this application is accurate and complete. I understand that submitting this application does not guarantee selection or establish an employment or independent contractor relationship with Applied Learning Solutions Group*
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