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Is it ok to contact you at work? Yes No
What is the best time to contact you? Morning Late Morning Early Afternoon Late Afternoon Evening
What is your current employment status? Currently Employeed Full-Time Currently Employeed Part-Time Currently Not Working Other
What is your discipline? PT PTA OT COTA SLP
What level of employment are you interested in? Full Time Part Time PRN
Are you willing to relocate? Yes No Depends on location
How did you hear about Summit Care? Industry Newsletter Newspaper Careerbuilder.Com Postcard Referral Other
If other referrer, please explain:

Are you interested in periodic employment updates from Summit Care? Yes No

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