Occupational Therapy Assistant

POSITION

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MY DOCUMENTS

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Cover Letter

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Additional Attachments (licenses, certifications, etc..)

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PROFILE INFORMATION

First Name *

Middle Name

Last Name *

Preferred First Name

Email Address *

Primary Phone Number *

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EMPLOYMENT HISTORY

Please provide up to ten (10) years of employment history. If in school, please say "student". If unemployed, please say "unemployed." Thank you!

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End Date *

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MY EDUCATION

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Degree *

Degree Status *

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CERTIFICATIONS/LICENSES

Certification/License

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Description

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Expiration Date

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PROFESSIONAL REFERENCES

Name of 1st Professional Reference

Relationship

Phone #

Email

Name of 2nd Professional Reference

Relationship

Phone #

Email

JOB-SPECIFIC INFORMATION

Transition Care Telemetry, Inc. is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Transition Care Telemetry is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Transition Care Telemetry, Inc. are based on business needs, job requirements and individual qualifications, without regard to race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status, or any other status protected by laws. Transition Care Telemetry, Inc. will not tolerate discrimination or harassment based on any of these characteristics. Transition Care Telemetry, Inc. encourages applicants of all ages.

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Do you have any relatives, including marriage employed by Transition Care Telemetry? *

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If you were referred by an existing employee, please enter their full name

Desired Salary

OTHER LEGAL NAMES USED

If Yes, please provide the Previous First Name

If Yes, please provide Previous Last Name

If Yes, please provide Previous Middle Name

REQUIRED IDENTIFICATION INFORMATION

Do you have a valid Driver's License? *

If yes, issued state?

WORK AUTHORIZATION

Are you legally authorized to work for Transition Care Telemetry, Inc. in the United States? *

Will you now or in the future require Transition Care Telemetry, Inc. to commence ("sponsor") an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)? This is sometimes called “sponsorship” for an employment-based visa status. *

Are you 18 years of age or older? *

APPLICATION STATEMENT

I certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that falsified statements, including omissions or misrepresentations of fact on this application shall be considered sufficient cause for disqualification from further consideration for hire or for termination of employment at any time, in the event I am hired by Transition Care Telemetry, Inc. (hereby referred to as TCT).

I further understand and agree to the following:

Transition Care Telemetry, Inc. or its agents, including reporting bureaus, is authorized to provide and receive relevant information to verify my personal or employment history and authorize any former employer, person, firm, corporation or government agency to give TCT such information.

As a condition of employment, I must successfully complete a background check which will include verification of previous employment, educational history, criminal background history, and required licenses. I understand that information provided on my application which is also needed for this background check will be shared with TCT's background check vendor. In consideration of TCT's review of this application, I release TCT and all providers of information from any liability as a result of furnishing and receiving this information.

As another condition of employment and in furtherance of TCT's commitment to a drug-free workplace, I will submit and must successfully complete an alcohol and drug test in the event I am offered a position with TCT.

If employed, my employment can be terminated with or without cause and with or without notice, at any time, at either TCT's or my option. I understand that no personnel recruiter, interviewer or other representative of TCT other than Chief Executive Officer has any authority to enter into any agreement for employment for any specified period of time. I also understand that any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract or contract by implication.

I agree to the terms and conditions above. *

The signature below acts as your legal signature. Enter your signature to accept the conditions for employment with Transition Care Telemetry, Inc.. I agree that my electronic signature will be accepted and have the same authority as my original signature.

Signature *

DATA PRIVACY STATEMENT

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Please read and accept the data privacy agreement.

As part of any recruitment process, Transition Care Telemetry, Inc. collects and processes personal data relating to job applicants. We are committed to being transparent about how we collect and use that data and to meeting our data protection obligations. We may collect this information in a variety of ways. For example, data might be contained in application forms or CVs, obtained from your passport or other identity documents, or collected through interviews or other forms of assessment. Transition Care Telemetry, Inc. may also collect personal data about you from third parties, such as references supplied by former employers. We will seek background information from third parties only once a job offer to you has been made and will inform you that we are doing so. Data will be stored in a range of different places, including on IT systems (including email), and in hard copy.

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POSITION

MY DOCUMENTS

PROFILE INFORMATION

EMPLOYMENT HISTORY

MY EDUCATION

CERTIFICATIONS/LICENSES

PROFESSIONAL REFERENCES

JOB-SPECIFIC INFORMATION

OTHER LEGAL NAMES USED

REQUIRED IDENTIFICATION INFORMATION

WORK AUTHORIZATION

APPLICATION STATEMENT

DATA PRIVACY STATEMENT

Call Transition Care Telemetry Anytime

833-828-4325