Patient Info and Forms - Excel Rehab and Sports

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

What season(s) are you available to work?

Fall Semester
Winter Break
Spring Semester
Summer Break

1. Do you have an interest in becoming a healthcare professional or working in the healthcare field? If so, why?

2. What interests you most in a clinical aide position, here at Excel, and why should we hire you for this role?

3. What are the top 3 attributes, you believe would be valuable in the clinical aide position, that would embody a Patient First Mission?

4. Clinical Aide Scenario: The therapist asks you to bring Mrs. Jones back for her 10:30 am appointment (it’s 10:28am right now), a timer goes off to take the heating pad off of Mr. Smith so he can leave and he is in the far corner, you see that a patient is needing assistance putting ankle weights on for her next exercise. How would you prioritize and work through this situation?

Please attach a copy of your resume by dragging and dropping it on the field below.

Click or drag a file to this area to upload.

IMPORTANT: Files should be a PDF with a max file size of 5 megs. DO NOT "CLICK" to add your resume.

Having issues with this form? Please email us.

Clinical Aide Form

Physician Resources Form

Student Resources & HR Form

Patients Resources Form

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