Evolution Healing Centre Employee Application

Rehabilitation Professional

Please note the documents required to complete this application.

Cover Letter

C.V.

Degree Certificate/s

Character Reference

Professional Reference

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* 1. Applicant Details

Full Name/s (First, Middle, Last)

Date of Birth (MM/DD/YYYY)

Citizenship Status

Email Address

Telephone

Country of Residence

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* 2. Position Applying For

Locum Rehabilitation Physiotherapist

Locum Speech Therapist

Locum Occupational Therapist

Part-time Clinical Aide

Consultant Sports Performance Coach

Certified AHA CPR Instructor

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* 3. Please describe your Professional Experiences Relevant to this application

Question Title

* 4. Educational Background 1:

First Degree Earned

Institution Earned From

Major Field(s) of Study

Graduation Date(s) (MMM/YYYY)

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* 5. Educational Background 2:

Second Degree Earned

Institution Earned From

Major Field(s) of Study

Graduation Date(s) (MMM/YYYY)

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* 6. Educational Background 3:

Third Degree Earned

Institution Earned From

Major Field(s) of Study

Graduation Date(s) (MMM/YYYY)

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* 7. Professional Work Experience:

Current or Most Recent Employer

Job Title/s

Dates of Employment (MMM/YYYY)

Responsibilities and Achievements

Email Address (Latest Workplace Reference)

Telephone Number (Latest Workplace Reference)

Additional Work Experience/s Relevant to the Position

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* 8. Character Reference 1:

Name of Reference #1

Relationship to Applicant

Contact Information (Phone Number, Email Address)

How long has the reference known the applicant and in what capacity?

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* 9. Character Reference 2:

Name of Reference #2

Relationship to Applicant

Contact Information (Phone Number, Email Address)

How long has the reference known the applicant and in what capacity?

Question Title

* 10. Professional References:

Name of Reference #1:

Relationship to Applicant

Professional Title

Place of Employment

Contact Information (Phone Number, Email Address)

How long has the reference known the applicant and in what capacity?

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* 11. Professional Reference #2:

Name of Reference 2

Relationship to Applicant

Professional Title

Place of Employment

Contact Information (Phone Number, Email Address)

How long has the reference known the applicant and in what capacity?

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* 12. Information Technology:

Are you familiar with electronic medical records?

How would you rank your own IT proficiency providing a number between zero (0) to ten (10)?

In what ways could you improve your IT proficiency?

Are you familiar with creating status reports for physicians, handovers and discharge letters?

Are you capable of utilizing anatomy applications, and online library applications to educate patients and forward exercise programmes related to their treatment plan/s?

Are you able to efficiently and effectively make communications with other members of the MDT regarding referrals and overall patient management?

Are you willing to participate in online surveys and research conducted at Evolution Healing Centre?

Do you regularly participate in continued professional development courses?

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* 13. Additional Information:

Other Professional Certifications or Licenses

Language Proficiency

Skills or Software Proficiency

Any Additional Information You Would Like to Share

Top Five Continued Professional Development Courses

Reason for consideration of post with Evolution Healing Centre, Bermuda

Are you willing to participate in aqua therapy for patients?

Are you willing to participate in cardiovascular, stroke, elderly, and pulmonary rehabilitation?

Are you willing to participate in research initiatives carried out by Evolution Healing Centre?

Are you familiar with sporting performance services?

Are you acupuncture or dry needle certified?

Are you familiar with Maitland and Mulligan techniques?

Are you familiar with the myofascial system?

Are you CPR/ Basic Life Support Certified and/ or willing to complete Certification every two (2) years.?

If you were to participate in a research project, what area would you prefer it to focus on?

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* 14. Authorization, Certification and Verification:
By signing below my full name in each box, I authorize, certify and verify the following statements.

I certify that the information provided in this application is true and accurate to the best of my knowledge.

I authorize the verification of all information provided in this application.

I am willing to provide Notarized certificates and transcripts to aide in the verification of my qualifications.

I verify that I am willing to undergo a probationary period of a minimum of three (3) months.

I verify that I am willing to commit to learning about the unique model of rehabilitative care of Evolution Healing Centre to the best of my abilities.

I verify that it is my responsibility to read, review and adhere to the policies and procedures of Evolution Healing Centre contained in the online policy library.