Seattle Advanced Bodywork Associates



Seattle Advanced Bodywork Associates

4033 Stone Way N.

Seattle, WA 98103



206-675-1740

Jean Clough, LMP, Owner/Manager

Application

Date:

Name:

Phone: Email Address:

Position:

Days and Times Interested in working (for therapists):

Education/Certification. Include graduation dates.

Modalities. List modalities, and training/credentialing in those modalities if applicable. Include dates, if possible.

Work Experience:

Place of Employment:

Dates: Contact Person and Phone:

Position/Responsibilities:

Reason for leaving:

Place of Employment:

Dates: Contact Person and Phone:

Position/Responsibilities:

Reason for leaving:

Place of Employment:

Dates: Contact Person and Phone:

Position/Responsibilities:

Reason for leaving:

Additional Experience whether in your field or not:

(please use back of page if needed)

Self- Employment:

If not indicated above please list any experience you have being self-employed:

All the Associates at SABA are self-employed. To be legally self-employed as a body worker in the state of Washington you must have (please check if you have):

□ Washington State License in your field

□ Washington State Master’s Business License (Legal Entity Registration)

□ City of Seattle Business License

□ Liability Insurance

If you are hired, you will be expected to provide copies of these documents, add SABA as “additional insured” on your liability insurance, and make sure SABA has updated copies of all licenses, registrations and insurance face sheets during your tenure as a SABA associate.

What is your experience with self – marketing? What has worked for you and what hasn’t?

Will you be bringing clientele?

On a scale of 1-10, 10 being great and 1 being not so much, how do you rank yourself on:

Business skills: 1 2 3 4 5 6 7 8 9 10

Self-promotion: 1 2 3 4 5 6 7 8 9 10

Marketing: 1 2 3 4 5 6 7 8 9 10

Self-Motivation: 1 2 3 4 5 6 7 8 9 10

Working 1 2 3 4 5 6 7 8 9 10

with others:

Time 1 2 3 4 5 6 7 8 9 10

Management:

Are you credentialed with insurances? Which ones?

What is your philosophy of your work? Give some detail! (Use back of page if needed.) Thank you so much!

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