Renew Allied: Online Job Application Form

Contractor Application Form (SLP & OT Therapist Hiring)

Please fill out the form below to submit your job application to Renew Allied, and thank you for your interest in contracting with us! We'd love to get to know you and your experience. Opportunities roll in year-round, and if your experience matches with a contracting opportunity, we'll reach out to connect. We currently contract in-person and virtually in schools across the state of Georgia. While we are currently expanding to other states as well, we are primarily looking for Georgia applicants at this time. You must be CCC or NBCOT certified (no Clinical Fellows accepted), and you must have or be eligible for your state teaching certification in Georgia if you are an SLP. Please ONLY continue to apply if you already have your state licensure in the state you are applying to, as we WILL NOT proceed with your application if not and will ask for you to reapply once you do. Thank you!
What is 1099 Contracting?

As a 1099 independent contractor, you are self-employed and not considered an employee of Renew Allied. This means you are responsible for managing your own taxes, benefits, insurance, and work schedule. You will invoice for your services and are paid directly, without taxes withheld. This role offers flexibility and autonomy, but it also requires self-management, organization, and accountability. If you're seeking a position that offers freedom in how and when you work, and you're comfortable handling your own professional obligations, 1099 contracting may be a great fit for you! Contractors will be responsible for fingerprinting/providing proof of all background checks and their national and state licensures (as applicable), as well as professional (and sometimes general) liability insurance -- all at their own cost as required by the IRS and school districts. There can be benefit to this is that by keeping all of your receipts, you may be eligible to write-off all of these costs for your tax returns. Please seek CPA/professional advice for all financial and tax information and advice, as our team are not professional legal or accounting experts and do not take responsibility for any decisions you make for yourself or your business(es).
Do you understand the above information and agree?
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Credentials (SLP, OT, other):
Applied Position
Are you looking for Virtual, Hybrid, or In-Person roles? Or, are you open to anything?
Do you already hold a valid state teaching certification for the state you are applying to work in (if applicable; for example, the Georgia Professional Standards Commission/PSC state teaching certification)?
Earliest Possible Start Date

MonthDayYear
Date
Hours Per Week Desired and Days of the Week You Are Available to Work:
Desired State(s) or Timezones to Work In:
State(s) You Are Already Licensed In (***NOTE: We will only move forward with your application if you are licensed in the state/s you are applying for a job in; we do not move forward with your application if you are not already licensed in the state/s applied for, so please DO NOT PROCEED if this is the case for your situation. Apply after receiving full state licensure in your applied state/s, please.***):
Desired Pay Range (hourly rates minimum to maximum):
Preferred Age Group (Elementary, Middle, High, Any):
Do you currently hold your Certificate of Clinical Competence (CCC) from ASHA if you are an SLP? -- Note: This opportunity is for CCC-SLPs only. Due to the nature of 1099 contracting and CF mentorship, we are not accepting Clinical Fellows at this time.
Do you currently hold your OTR® and/or your OTR/L from NBCOT for the state(s) you are applying in if you are an OT? -- Note: This opportunity is for OTRs only. Due to the nature of 1099 contracting and COTA supervision, we are not accepting COTAs at this time.
Are you bilingual?
If YES (you are bilingual), which languages do you know fluently or are nearly fluent in?
How many years have you been a practicing therapist (please do not count any time spent in graduate study)?
What client populations have you previously served?
Do you have experience servicing clients virtually?
Describe your background with virtual services if applying for a virtual position:
What makes you a good fit for this position and working independently?
How comfortable are you with managing your own caseload, schedule, and documentation?
How did you hear about us?
Cover Letter, Resume, and Licensing File Uploads
Cover Letter (Optional)
Please do not exceed 200 words.
Please Upload Your Resume:

Cancelof
Please Upload Your State License(s) for all states applied to:

You can share certificates, diplomas etc.
Cancelof
Please upload your national licensing board's credentials (i.e., your ASHA CCC Card or NBCOT documentation):

You can share certificates, diplomas etc.
Cancelof
Any Other Documents to Upload:

You can share certificates, diplomas etc.
Cancelof
References

Reference #1
Reference #1 (Previous Supervisor or Employer):

First NameLast Name
Reference #1 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Reference #1 Email Address:
example@example.com
Reference #1 -- Please enter this contact's job title and relationship to you during the time in which you work(ed) together (for example, "He was the Lead SLP and my primary supervisor."):
Reference #1 -- Please list the Company Name you both worked under during your time working together:
Reference #2
Reference #2 (Previous Supervisor or Employer):

First NameLast Name
Reference #2 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2 Email Address:
example@example.com
Reference #2 -- Please enter this contact's job title and relationship to you during the time in which you work(ed) together (for example, "She was the Lead OT and my primary supervisor."):
Reference #2 -- Please list the Company Name you both worked under during your time working together:
Reference #3
Reference #3 (Previous Colleague or Professional Reference):

First NameLast Name
Reference #3 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Reference #3 Email Address:
example@example.com
Reference #3 -- Please list this contact's relationship to you during your time working together (for example, "This was an OT colleague of mine at XZY Company.")
Reference #3 -- Please list the Company Name you both worked under during your time working together:
Consent Section
By typing my full legal name below, I give consent to my information being submitted to Renew Teletherapy LLC (DBA Renew Allied) and its affiliates for job application purposes. I understand that this is a 1099 Contractor position I am offering to work for as a certified Speech-Language Pathologist or Occupational Therapist in the state(s) noted above. I attest that all of the information included in this application is true and an accurate representation of my skillset and credentials. I understand that any discrepancies in my application and/or interview may result in the termination of my job application. I am a serious applicant as a contractor OR for employment at Renew Allied. As such, I certify that the information I have provided to Renew Allied, both orally and in writing, is accurate and complete. I authorize Renew Allied and any agent acting on its behalf to confirm this information and to secure necessary information from all my employers and/or references. I release all those information providers to Renew Allied and any agent acting on its behalf from any and all liability arising from their giving or receiving information about my employment history, academic credentials, or qualifications. I understand that this information is confidential and that disclosure of this information to me and to others will be governed by Renew Allied policy and state law. This authorization will remain in effect throughout the term of employment. Any false or misleading statements I have made will be sufficient cause for rejection of my application or for dismissal if Renew Allied hires or employs me. I have read and understand the preceding statement. I recognize that this will stand as my approved electronic signature, signifying such as I have been informed of here.
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Contractor Application Form (SLP & OT Therapist Hiring)

What is 1099 Contracting?

Cover Letter, Resume, and Licensing File Uploads

References

Consent Section