Join as a provider — GAPRN Connect

First name *

Last name *

Email *

Phone Optional. Text-friendly if you prefer text.

Create password * 10 characters minimum.

Confirm password *

How did you hear about us? Optional. Helps us know what's working.

Your role *

Audiologist (AuD / PhD) Hearing Instrument Specialist (HIS) 4th-year resident Other

License state(s) * Comma-separated if multiple.

NPI number Optional. Speeds up verification.

ASLP-IC Compact eligibility The compact went live in 2025 across 37 jurisdictions, including much of the Southeast.

Yes, compact eligible No Not sure

Home ZIP code *

Willing to travel *

Additional work zones Other cities or ZIPs you'd work in. Powers our matching heat map.

Open to relocation for the right opportunity?

Yes No Maybe, depends

Availability type * Check all that apply.

Single-day coverage Short-term (1–4 weeks) Long-term (1+ months) Recurring On-call / as-needed

Preferred schedule

Other schedule notes

Compensation floor Lowest hourly rate. Blank = flexible.

Compensation preference

Hourly only Hourly + commission Either

Settings you'd work in

Populations you're comfortable with

Adult Geriatric Pediatric All ages

Case mix — ENT versus hearing aids

Prefer ENT-heavy Prefer hearing-aid-heavy Balanced is ideal No preference

Practice management systems you know Day-one productivity matters to clinics.

Hearing aid manufacturers you're comfortable with "All major brands" is a perfectly good answer.

Current employment status

Full-time employed Part-time employed Between roles Retired / semi-retired Student / resident

Interested in eventual private practice ownership?

Yes Maybe someday No

Anything else we should know? Special interests, restrictions, or context that helps with matching.

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