AAI Careers

Please complete the following information to apply for a position as an AAI Course Instructor. Along with the completed application you must also attach a copy of your most up-to-date CV. Because of the volume of applications we receive, you will only be contacted if under consideration.

This will take you approximately 20-30 minutes to complete.

(Confidential) Please complete
Name*
How did you find out about AAI?	Select One Search Engine Colleague/Peer Manufacturer Rep AAI CE email campaign AAI City spec. email Former AAI student AAI Magazine Ad
Manufacturers	Select One Allergan Medicis Merz Valiant Other
Rep's Name
Title/Credentials
Current Employer and Position Held
Practice Specialty
Office Address
Office Phone
Email Address*
Home Address
Home Phone* Cell Phone Days of the week you are available Number of available days per month Willingness to Travel Yes No Have you ever had your license revoked or suspended? Yes No If yes, explain List current professional licensures by state/s, type, and number (ie.RN, GA R00224) Do you currently carry malpractice insurance? Yes No Demographics Home Airport when traveling How long does it take you to get to your "home" airport? (i.e.½ hour) Alternate Airports Available (please list) Skills Overview Please fill in the following Information: BonTA Specific brands of BonTA that you have experience injecting Answer the following for each product you inject Years injecting Volume of reconstitution fluid Product reconstituted with Anatomical sites injecting Radiesse® Years injecting Anatomical sites injecting Restylane® Years injecting Anatomical sites injecting Perlane® Years injecting Anatomical sites injecting Juvederm® Ultra/Ultra Plus Years injecting Anatomical sites injecting Sculptra® Years injecting Anatomical sites injecting Type of Anesthesia used check 1 Both Regional Nerve Block Topical Sclerotherapy Injection Sclerotherapy Yes No Years of Experience Types of veins treated Select any veins treated Telangectasias Reticulars Types of sclerosants/techniques used Select any sclerosants/techniques used Saline Glycerin Sotradecol® Asclera™ Foaming Skin Care Experience with Clinical Skin Care Yes No Years of Experience Products you have worked with Types of Treatments Provided Select any Treatments Provided Microdermabrasion Dermaplaning Chemical Peels Other Laser/Light Treatments Experience with Lasers/Light Treatments? Yes No Years of Experience List the laser/light systems you have worked with List the modalities used (e.g., LHR, IPL/BBL, 1064, Erbium, CO2, Skin Tightening, Other) Experience with the following classes of cosmetic injectable products FDA-Approved Neurotoxins for Cosmetic (BonTA) Specific brands of BonTA) that you have experience injecting Years injecting each Volume of reconstitution fluid used for each Product that you use to reconstitute each Anatomical sites that you inject with these neurotoxins Hyaluronic Acid (HA) Dermal Fillers Specific brands of HA filler that you have experience injecting Years injecting each HA Filler Anatomical sites that you inject with these HA fillers Semi-Permanent Dermal Fillers and Bio-Activators Brands of semi-permanent fillers and bio-activator agents that you have experience injecting Years injecting each semi-permanent filler and bio-activator agents Anatomical sites that you inject with these semi-permanent fillers and bio-activator agents Attach CV       Please wait...