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Optimal Rhythms Staff Application
Please complete this application for employment pre-employment questionnaire. We are an equal opportunity employer. By completing and forwarding these documents, you are authorizing
Optimal Rhythms, Inc. to complete employment reference checks.
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Email
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Your email
Date of Application Completion
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MM
/
DD
/
YYYY
Full Name (Last name, first)
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Your answer
Present Address (Please include city, state, and zip code)
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Your answer
Permanent Address (Please include city, state, and zip code)
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Your answer
Best Phone Number (Please indicate if this is your cell)
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Your answer
Email Address
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Your answer
Position Desired
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Communication / Regulation Partner
Educator
CAN-Do Camp Coach
Virtual Support Coach
Intern
Volunteer
Other:
Required
Date you are available to start
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MM
/
DD
/
YYYY
Rate of Pay Desired
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Your answer
Are you currently employed?
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Yes
No
If so, may we inquire of your present employer?
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Yes
No
I am not currently employed
Have you ever applied to Optimal Rhythms, Inc. before?
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Yes
No
If yes, when?
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Your answer
Please list the name, location, and years attended of your ELEMENTARY and MIDDLE SCHOOLS:
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Your answer
Please list the name, location, years attended, and graduation date of your HIGH SCHOOL:
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Your answer
Please list the name, location, years attended, graduation date, and subjects studied of your COLLEGE:
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Your answer
If a college graduate, please list your degree(s) earned.
Your answer
Please list the name, location, years attended, graduation date, and subjects studied of your TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL:
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Your answer
Please list subjects of special study/research work or special trainings/skills as well as your credentials.
Your answer
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