Feeding Evaluators (Speech-Language Pathologists / Occupational Therapists)

Job Code: 1573140 Location: Manhattan

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* FIRST NAME	M.I.	* LAST NAME

* HOME PHONE (xxx)xxx-xxxx	WORK PHONE (xxx)xxx-xxxx

* EMAIL

* ADDRESS

* CITY	* STATE/PROVINCE	* POSTAL CODE

* COUNTRY

1. HAVE YOU EVER BEEN AN EMPLOYEE OF YAI/NIPD BEFORE? *

Yes
No

2. IF YES, PLEASE INDICATE WHEN, THE NAME OF THE PROGRAM AND THE NAME OF YOUR SUPERVISOR.

3. ARE YOU LEGALLY EMPLOYABLE UNDER U.S. IMMIGRATION LAWS? (PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT). *

Yes
No

4. IF NO, PLEASE INDICATE IMMIGRATION STATUS

5. ARE YOU NYS LICENSED AS A SPEECH LANGUAGE PATHOLOGIST? *

Yes
No

6. DO YOU HOLD A CCC? *

Yes
No

7. ARE YOU NYSED LICENSED AS AN OCCUPATIONAL THERAPIST? *

Yes
No

8. DO YOU HAVE EXPERIENCE EVALUATING AND TREATING CHILDREN AGES BIRTH TO FIVE WITH SPECIAL NEEDS? *

Yes
No

9. DO YOU HAVE EXPERIENCE IN FEEDING AND ORAL MOTOR DEVELOPMENT? *

Yes
No

10. WHICH LOCATIONS ARE YOU INTERESTED IN? PLEASE SPECIFY IN ORDER OF PREFERENCE *

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11. PLEASE SPECIFY YOUR MINIMUM SALARY REQUIREMENT. *

* PLEASE PASTE A COPY OF YOUR RESUME OR PROFILE BELOW.