At SLPS, our mission is to match the individual career goals of Speech Language Pathologists, Occupational Therapists, and Physical Therapists with the needs and expectations of schools, clinics, and families. SLPS offers responsive, personal attention to every employee and independent contractor that we represent and has access to the most desirable positions in these rewarding careers. Please fill out the information below.

Contact Information

Contact Person (first)	(last)
Street Address
City	State Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Zip
Email
Phone	Alt Phone (optional)

I Am Available To Work

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Number Of Days You Wish To Work Per Week
Number Of Hours You Wish To Work Per Week
What Date Are You Available To Start Work?

Professional Information

Discipline - Select a Discipline - CFY Speech Pathologist Speech Pathologist Assistant Occupational Therapist Occupational Therapist Assistant Physical Therapist Physical Therapist Assistant Years of Experience

Certification/Licensure

Certification/License #

Age Range of Interest - Select an Age Range - Early Intervention Preschool Elementary Middle School High School

Area Of Clinical Experience/Interest

Preferred Work Location

	State	County	District
1)	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
2)	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
3)	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming

How Did You Hear About SLPS? Select an Option Alta Vista Excite Google GoTo Hotbot infoseek lycos msn other search engine snap printed literature colleague/friend yahoo

Attach Your Resume (optional)