Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

How many years of education have you completed? Four-year college degree Master's degree

Experience:

How many years experience do you have in the position for which you are interested? No experience Less than one year At least 1 to 3 years At least 4 to 6 years At least 7 to 9 years Ten or more years

What type of setting best describes your work experience? School Setting Speech and Language Clinic Hospital Home Health/Residential Care Facility Academia/Research Other

Do you have experience with sign language and automated devises as methods to communicate? Yes No

Do you have experience working with children? Yes No

Do you have experience working with senior citizens? Yes No

Do you have experience in educating medical professionals on speech or hearing topics? Yes No

Do you have experience working with insurance companies and third party payers? Yes No

Do you have experience in conducting research and presenting findings on speech or hearing topics? Yes No

Do you have a Certificate of Clinical Competence in Speech-Language Pathology? Yes No

Work/Salary:

Would you be interested in temporary assignments or on-call work? Yes No

Are you able to work weekends and holidays? Yes No

Please indicate what salary base rate you are looking to receive: Up to $30,000 per year Up to $40,000 per year Up to $50,000 per year Up to $60,000 per year Up to $70,000 per year $70,000 or more per year

General:

If the position requires traveling, do you have a valid driver's license and proof of automobile insurance? Yes No

Are you interested in working full time or part time? Full time Part time

Are you currently employed? Yes No

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Would you relocate to another state? Yes No

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you bi-lingual or multi-lingual? Yes No

Do you have access to reliable transportation? Yes No

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.