Employment Application

  • Your Personal Information

  • When is the best time for us to reach you via telephone?
  • Position You're Applying For

  • please tell us what hours you are available for work each day of the week.
  • Previous Employment

  • please list your previous employers, the dates you worked and the position you held
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  • More About You

  • Accepted file types: pdf, doc.
    Please note: .docx format cannot be uploaded due to security reasons, please e-mail your resume.
  • The Legal Stuff

  • Terms and Conditions

    By agreeing to our terms, I certify that all of the information contained in this application is true and complete. I understand that any misrepresentations or false information that I provide, either in this employment application or at any other time during the application and hiring process, may result in the disqualification of my application for employment or, if I am hired, in the immediate termination of employment at any point in the future.

    I understand and agree that this employment application does not guarantee employment on any terms. I further understand and agree that, if I am hired, it will be on a strictly at-will basis, meaning that just as I am free to resign at any time, Revive Physical Therapy and Wellness has the right to terminate my employment at any time, with or without cause or prior notice. No implied oral or written agreements contrary to this at-will employment basis are valid unless they are in writing and signed by the President of Revive Physical Therapy and Wellness.

    I understand that Revive Physical Therapy and Wellness may seek to verify any or all information listed above or otherwise provided by me during the application and hiring process. I hereby expressly authorize Revive Physical Therapy and Wellness to verify that information, without further notice to or consent by me, and I authorize prior employers and others from whom such verification is sought to release relevant information about me. I further authorize Revive Physical Therapy and Wellness to investigate all references and secure additional information about me.

    I hereby release from liability Revive Physical Therapy and Wellness and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

    Revive Physical Therapy and Wellness is an Equal Opportunity Employer. Revive Physical Therapy and Wellness does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

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