Apply Now Associate Chiropractor Associate Chiro Form Name * First Name Last Name Email * Phone * (###) ### #### Chiropractic School, Graduation Date * Are you licensed in the state of Georgia? * Yes No Are you an ICPA member? * Yes No What certifications do you have? * Techniques are you proficient in: * What are your goals for associating with Awaken Chiropractic? * How did you hear about this position? * What about you personally/professionally aligns with Awaken Chiropractic's mission? * Thank you for your interest in joining the Awaken Team! Wellness Professional Wellness Professional Name * First Name Last Name Email * Phone * (###) ### #### Profession Title * Professional Education Background * School/Certification with dates acquired Are you licensed in the state of Georgia? * Yes No How do you think your line of work aligns with Awaken Chiropractic's mission? * What about you personally/professionally aligns with Awaken Chiropractic's mission? * Thank you for your interest in joining the Awaken Team! Office Assistant Office Assistant Name * First Name Last Name Email * Phone * (###) ### #### Education, Graduation Year * Skills you are proficient in: Customer Service Phone Etiquette Social Media Creation/Marketing Basic Graphic Design (Canva) Office Equipment Operation Data Entry & Management Electronic Patient Record (EPR) System Verbal and Written Communication Any skills that are not listed above: Qualities that make you a good fit for this position: * Do you or someone you know have any experience with chiropractic care? How did you hear about Awaken Chiropractic? Thank you for your interest in joining the Awaken Team!