Please fill out the following application and upload your resume.  We will get back to you within one week.  Thank you for your interest in working with Primeros Pasos

1. Name:

2. Home Phone:

3. Mailing Address:

4. Email:

5. Nationality (optional):

6. Age (optional):

7. Spanish level:

    Beginner  Intermediate  Advanced  Native Speaker

Definitions of Spanish Level:

• Beginner:  can speak in the present tense.  can understand at least 25% of what native speakers say

• Intermediate: Can speak, read and write in the present, past (preterite and imperfect), and future tenses (ir + a + infinitive construction sufficient). Understands most of what is said by native speakers if they speak slowly and clearly.  Can interview, examine and treat Spanish-speaking patients without an interpreter.

• Advanced:  can speak, read and write Spanish without needing to mentally translate most of the time.  Can understand most of what is said by native speakers speaking at a rapid pace.               
  

8. Current Occupation:

9. Position in which you are interested:

  Medical Professional

  Laboratory Technician

  Women's Health Educator

  Children's Health Educator

  Other (please specify)

9. Please explain why you feel you are qualified to take on this role.  Please refer to all relevant past experience, paid or volunteer.

10. When would you be arriving to work?

11. When would you be ending work?

12. How did you hear about us?

13. Please provide us with two references, preferably one professional and one personal:

Name:

Email:

Name:

Email:

14. You may contact my references before contacting me:  Yes   No

15. Any other questions, comments, etc... 

I confirm that the above information is true and correct to the best of my knowledge

Signed:              Date:

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