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Associate DC Application Form
Full Name
*
Phone
*
Email
*
Chiropractic College Attended
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Year Graduated
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Preferred Clinic Location
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Are you currently licensed to practice Chiropractic in a province in Canada? (If “No”, when do you expect to be licensed?)
Are you currently employed?
*
Yes
No
Current or Most Recent Position
Years of Clinical Experience
Why are you interested in joining Divine Spine?
*
What excites you most about chiropractic care?
*
Upload Resume
Click here to upload your Resume
Declaration & Consent
*
I confirm that the information I’ve provided is true and accurate to the best of my knowledge. I also authorize Divine Spine to contact me via phone, email, or text regarding this application and related opportunities.
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