NewAdministrative Assistant- Located Hazelwood, MO Vaco LLCAdministrative Assistant- Located Hazelwood, MOHazelwood, MO$20–$23 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
NewAP/AR Administrative Assistant (Part-Time) Express Employment ProfessionalsAP/AR Administrative Assistant (Part-Time)St. Louis, MOThis role will primarily focus on accounts payable, accounts receivable, invoice processing, filing, and general administrative support within a fast-paced office environment. This position is expected to start at approximately 3 days per week, with potential to increase to 4 days depending on workload and business needs.
NewTraveling Assistant Superintendent - Groundup Hotels JobotTraveling Assistant Superintendent - Groundup HotelsDes Peres, MO$90,000–$115,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The successful candidate will assist in overseeing construction operations in the field, supporting the Lead Superintendent in driving the schedule and ensuring a successful project completion.
NewAssistant Project Manager - St. Louis, MO JobotAssistant Project Manager - St. Louis, MOSt. Louis, MO$80,000–$90,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. ● Assist with project management activities including coordinating Requests for Information (RFIs); review and distribution of product submittals, shop drawings; project documentation, deliveries, procurement; manage the procurement log.
NewAssistant Project Manager JobotAssistant Project ManagerBallwin, MO$80,000–$95,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. With decades of experience and a portfolio that spans healthcare, education, and institutional work, we focus on building lasting partnerships and making a positive impact in the communities we serve.
NewAdvanced Medical Assistant - Specialty Float - PRN MercyAdvanced Medical Assistant - Specialty Float - PRNWashington, MOMedical Assistants support providers by delivering patient care, assisting with clinical procedures, maintaining accurate records, and helping with office operations. Medical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner.
NewMedical Assistant - Float Pool, Mercy Clinic Southfork MercyMedical Assistant - Float Pool, Mercy Clinic SouthforkSaint Louis, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Medical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner.
NewPhysical Therapist Assistant CORA Physical TherapyPhysical Therapist AssistantBallwin, MOAt CORA Physical Therapy , we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care. We believe every patient deserves high-quality care, and every team member deserves the tools and support to thrive.
NewMedical Assistant, PRN Float MercyMedical Assistant, PRN FloatWashington, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Medical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner.
NewMedical Assistant, Mercy Lincoln Ortho Clinic MercyMedical Assistant, Mercy Lincoln Ortho ClinicTroy, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Medical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner.
NewMedical Assistant - Corporate Health (PRN Days) MercyMedical Assistant - Corporate Health (PRN Days)Chesterfield, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - Endocrinology (F/T Days) MercyMedical Assistant - Endocrinology (F/T Days)Saint Louis, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - Corporate Health (F/T Days) MercyMedical Assistant - Corporate Health (F/T Days)Saint Louis, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - Neurosurgery (F/T Days) MercyMedical Assistant - Neurosurgery (F/T Days)Saint Louis, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - Gastroenterology (F/T Days) MercyMedical Assistant - Gastroenterology (F/T Days)Saint Louis, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - Nephrology (F/T Days) MercyMedical Assistant - Nephrology (F/T Days)Saint Louis, MOMedical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewLPN / Medical Assistant - Oncology / Hematology (F/T Days) MercyLPN / Medical Assistant - Oncology / Hematology (F/T Days)Ballwin, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Medical Assistants (MA) in the medical office setting supports providers by delivering direct and indirect patient care in a professional, courteous, and efficient manner.
NewPhysical Therapist Assistant Workers' Compensation Specialty Evaluator CORA Physical TherapyPhysical Therapist Assistant Workers' Compensation Specialty EvaluatorBallwin, MOAs a Worker's Compensation Specialty Evaluator Physical Therapist Assistant at CORA, you’ll: Perform worker’s compensation active peer review to monitor worker’s compensation progression, monitor documentation and assure all scripts are correct, monitor completion and delivery of weekly status report and monitor charges. This role would be in our Ballwin clinic 3 days/week and 2 days per week traveling within the region performing Functional Capacity Evaluations (FCEs) and Work Conditioning Evaluations, as needed.
Medical Assistant/Nurse LPN - Primary Care Compass Health NetworkMedical Assistant/Nurse LPN - Primary CareSt. Peters, MissouriFull timeTo support the continued delivery of quality and compassionate care in our communities, we are offering a retention bonus of $1,500 for Medical Assistants and an additional $2,500 for Nurses.* Whether you're a skilled Medical Assistant or a Licensed Practical Nurse, you’ll be a key part of an integrated care team, helping patients feel supported, respected, and cared for at every visit.
NewPhysical Therapist Assistant - 6 TalentBurst, Inc.Physical Therapist Assistant - 6O Fallon, MO$35–$35.50 / hourProvides individualized physical therapy treatments including but not limited to: Therapeutic exercise including aerobic capacity conditioning , balance coordination , agility training, body mechanics and postural stabilization , flexibility exercises, gait and locomotion training, neuromotor development training, relaxation , strength, power, and endurance training Functional training. Puts Patient Service First : Ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
NewPhysical Therapy Assistant (PTA) Solaris HealthCare ZephyrhillsPhysical Therapy Assistant (PTA)Pasadena Hills, FLBy joining our team, you will be part of a dedicated group of professionals committed to supporting and uplifting our residents, ensuring they receive the best possible care to lead fulfilling lives. At Solaris HealthCare Zephyrhills, we strive to care for each resident like family, recognizing that compassionate, personalized care can achieve limitless possibilities.
NewPhysical Therapy Assistant Solaris HealthCare ZephyrhillsPhysical Therapy AssistantPasadena Hills, FLBy joining our team, you will be part of a dedicated group of professionals committed to supporting and uplifting our residents, ensuring they receive the best possible care to lead fulfilling lives. At Solaris HealthCare Zephyrhills, we strive to care for each resident like family, recognizing that compassionate, personalized care can achieve limitless possibilities.
NewCertified Physical Therapy Assistant Solaris HealthCare ZephyrhillsCertified Physical Therapy AssistantPasadena Hills, FLBy joining our team, you will be part of a dedicated group of professionals committed to supporting and uplifting our residents, ensuring they receive the best possible care to lead fulfilling lives. At Solaris HealthCare Zephyrhills, we strive to care for each resident like family, recognizing that compassionate, personalized care can achieve limitless possibilities.
NewPTA - Physical Therapy Assistant Solaris HealthCare ZephyrhillsPTA - Physical Therapy AssistantPasadena Hills, FLBy joining our team, you will be part of a dedicated group of professionals committed to supporting and uplifting our residents, ensuring they receive the best possible care to lead fulfilling lives. At Solaris HealthCare Zephyrhills, we strive to care for each resident like family, recognizing that compassionate, personalized care can achieve limitless possibilities.
NewRegistered Nurse (RN) - Assistant Manager, Internal Medicine - $78K-117K per year BJC HealthCareRegistered Nurse (RN) - Assistant Manager, Internal Medicine - $78K-117K per yearSaint Louis, MO$78,000–$117,000 / yearAcute Care Medicine has patients with a full range of clinical issues-from significant blood dyscrasias, advanced endocrine pathology, heart and renal failure, GI conditions, infectious diseases, asthma and a multitude of other conditions and diseases. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals.
Assistant Facility Medical Director in Belleville, IL TeamHealthAssistant Facility Medical Director in Belleville, ILBelleville, ILFull timeOur physician leaders gain access to leadership development programs, mentorship opportunities, educational resources, administrative and legal support services, and a powerful national network of thousands of professionals who share and shape best practices. Our collaborative and transparent approach includes a collective team of administrative and clinical leaders and clinicians who work tirelessly to help facilities meet anesthesia and overall strategic growth goals.
NewPrimary Care Medical Assistant - Float MercyPrimary Care Medical Assistant - FloatSaint Louis, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewMedical Assistant - Mercy Clinic Primary Care - Columbia, IL MercyMedical Assistant - Mercy Clinic Primary Care - Columbia, ILColumbia, ILUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewPrimary Care Medical Assistant - Mercy Clinic Towers A&B MercyPrimary Care Medical Assistant - Mercy Clinic Towers A&BSaint Louis, MOWorking the Encounter Guide including helping to close any open care gaps such as fall risk, depression screening, breast cancer screening, colorectal cancer screening, and diabetic eye exam. The incumbent in this position shall carry out his or her responsibilities and integrate into his or her work ethic the Mercy Philosophy of caring for the sick and suffering, respect for human life and the dignity of each person, applying Christian values to all crucial human issues in the area over which he or she has responsibility.
NewMedical Assistant - Primary Care, South City MercyMedical Assistant - Primary Care, South CitySaint Louis, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
Physical Therapist Assistant OptumPhysical Therapist AssistantSt Louis, MO$23.41–$41.83 / hourAs members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. As the Physical Therapist Assistant you will perform treatment and provide exercise instruction and patient education aimed at improving/enhancing the patient's well-being while following the established plan of care.
NewTravel Nurse RN - Registered Nurse First Assistant - $2,369 to $2,633 per week in St. Louis, MO All Medical PersonnelTravel Nurse RN - Registered Nurse First Assistant - $2,369 to $2,633 per week in St. Louis, MOSt. Louis, MO$2,369–$2,633Nurses need extensive surgical experience and additional training to qualify as first assistants, and many nurses get certification in perioperative nursing or obtain credentials as advanced practice nurses. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast.
NewMedical Assistant - Mercy Clinic Sleep Medicine MercyMedical Assistant - Mercy Clinic Sleep MedicineSaint Louis, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Responsible for assisting physicians and nurses in providing patient care to clinic patients under the supervision of physicians/nurse practitioner and the leader.
NewMedical Assistant- Mercy Primary Care Washington MercyMedical Assistant- Mercy Primary Care WashingtonWashington, MOUnder the direction of the primary care operations team, the Primary Care Patient Certified MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care Certified MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewMedical Assistant- Clayton/Clarkson Primary Care MercyMedical Assistant- Clayton/Clarkson Primary CareBallwin, MOUnder the direction of the primary care operations team, the Primary Care Patient Advanced Certified MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care Advanced Certified MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewPrimary Care Medical Assistant, Eureka MercyPrimary Care Medical Assistant, EurekaEureka, MOUnder the direction of the primary care operations team, the Primary Care Patient Certified MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care Certified MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewPrimary Care Medical Assistant MercyPrimary Care Medical AssistantEureka, MOUnder the direction of the primary care operations team, the Primary Care Patient Certified MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care Certified MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewPrimary Care Assistant - MA (Non-Exempt) MercyPrimary Care Assistant - MA (Non-Exempt)Eureka, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewPrimary Care-Lead Medical Assistant MercyPrimary Care-Lead Medical AssistantSaint Louis, MOUnder the direction of the primary care operations team, the Primary Care Patient Care Lead MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care Lead MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewLPN / Medical Assistant - Breast Surgery (F/T Days) MercyLPN / Medical Assistant - Breast Surgery (F/T Days)Ballwin, MOThe incumbent in this position shall carry out his or her responsibilities and integrate into his or her work ethic the Mercy Philosophy of caring for the sick and suffering, respect for human life and the dignity of each person, applying Christian values to all crucial human issues in the area over which he or she has responsibility. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
NewMedical Assistant - New Ballas Raod MercyMedical Assistant - New Ballas RaodSaint Louis, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewMedical Assistant (MA) - Mercy Clinic Primary Care, Southfork MercyMedical Assistant (MA) - Mercy Clinic Primary Care, SouthforkSaint Louis, MOThe incumbent in this position shall carry out his or her responsibilities and integrate into his or her work ethic the Mercy Philosophy of caring for the sick and suffering, respect for human life and the dignity of each person, applying Christian values to all crucial human issues in the area over which he or she has responsibility. Skills, Knowledge, and Abilities: Skill in assisting in a variety of treatments, medications, taking vital signs, maintaining records, recording test results and office procedures.
NewMedical Assistant- Mercy Primary Care Clayton/Clarkson MercyMedical Assistant- Mercy Primary Care Clayton/ClarksonBallwin, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Patient Care MA will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for all patients.
NewOperating Room RN First Assistant - $38-64 per hour BJC HealthCareOperating Room RN First Assistant - $38-64 per hourValley Park, MO$38–$64 / hourIn addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
NewTravel Nurse RN - Registered Nurse First Assistant - $2,768 to $2,945 per week in Saint Louis, MO Fusion Medical StaffingTravel Nurse RN - Registered Nurse First Assistant - $2,768 to $2,945 per week in Saint Louis, MOSaint Louis, MO$2,768–$2,945Qualifications:","IsTitle":false,"Elements":[["One year of recent experience as a Surgical First Assistant RN","Certified Surgical First Assistant (CSFA or CRNFA) certifications","Valid RN license in compliance with state regulation","Current BLS (AHA/ ARC) Certification"]]},{"Header":"Preferred Qualifications:","IsTitle":false,"Elements":[["ACLS (AHA/ARC) certifications","Other certifications and licenses may be required for this position"]]},{"Header":"Summary:","IsTitle":false,"Elements":["The Surgical First Assistant is responsible for providing advanced care directly assisting surgeons throughout surgical procedures. {"Segments":[{"Header":"Travel Surgical First Assistant - Registered Nurse","IsTitle":true,"Elements":["Company: Fusion Medical Staffing","Location: Facility in Saint Louis, Missouri"]},{"Header":"Job Details","IsTitle":false,"Elements":["Fusion Medical Staffing is seeking a skilled Surgical First Assistant - Registered Nurse for a 13-week travel assignment in Saint Louis, Missouri.
NewTravel Nurse RN - Registered Nurse First Assistant - $2,281 to $2,427 per week in Saint Louis, MO Fusion Medical StaffingTravel Nurse RN - Registered Nurse First Assistant - $2,281 to $2,427 per week in Saint Louis, MOSaint Louis, MO$2,281–$2,427Qualifications:","IsTitle":false,"Elements":[["One year of recent experience as a Surgical First Assistant RN","Certified Surgical First Assistant (CSFA or CRNFA) certifications","Valid RN license in compliance with state regulation","Current BLS (AHA/ ARC) Certification"]]},{"Header":"Preferred Qualifications:","IsTitle":false,"Elements":[["ACLS (AHA/ARC) certifications","Other certifications and licenses may be required for this position"]]},{"Header":"Summary:","IsTitle":false,"Elements":["The Surgical First Assistant is responsible for providing advanced care directly assisting surgeons throughout surgical procedures. {"Segments":[{"Header":"Travel Surgical First Assistant - Registered Nurse","IsTitle":true,"Elements":["Company: Fusion Medical Staffing","Location: Facility in Saint Louis, Missouri"]},{"Header":"Job Details","IsTitle":false,"Elements":["Fusion Medical Staffing is seeking a skilled Surgical First Assistant - Registered Nurse for a 13-week travel assignment in Saint Louis, Missouri.
NewTravel Nurse RN - Registered Nurse First Assistant in St. Louis, MO Concentric Healthcare StaffingTravel Nurse RN - Registered Nurse First Assistant in St. Louis, MOSt. Louis, MOWhy Join Us Work at a nationally recognized facility that holds designations including a Level 2 Trauma Center, Joint Commission Comprehensive Stroke Center, and Level 1 STEMI Center. Scrubs are provided on-site, and the assignment is located in Saint Louis, MO — a vibrant city known for its food scene, professional sports, entertainment, and cultural attractions.
NewPrimary Care - Resource Medical Assistant - Chesterfield Valley MercyPrimary Care - Resource Medical Assistant - Chesterfield ValleyChesterfield, MOUnder the direction of the primary care operations team, the Primary Care Patient Care MA works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. This role serves as a flexible staffing resource and may travel to other area clinics to provide coverage during employee absences, including PTO, FMLA, training, vacancies, and other staffing needs.
NewTravel Endovascular OR RN First Assistant - $3,092 per week Care CareerTravel Endovascular OR RN First Assistant - $3,092 per weekSaint Louis, MOOperating Room Nurses Responsible for planning, executing, directing and evaluating, direct and indirect nursing care given to the surgical patient. Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry.
NewTravel Endovascular OR RN First Assistant - $3,086 per week American TravelerTravel Endovascular OR RN First Assistant - $3,086 per weekSaint Louis, MOAmerican Traveler is seeking an experienced RN First Assistant (RNFA) for an Endovascular OR position in Saint Louis, MO, requiring at least 1 year of endovascular OR RNFA experience on a day shift 4x10 schedule. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.