Do you have any active licenses or certifications that help better qualify you for the position that you are applying? Example: CPR Certification, Food Handling Card...etc. If you possess any, please list them here:
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Do you have experience in working in a healthcare facility?
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What Shift Would You Prefer To Work?
Please List The Languages You Are Fluent In:
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Are You Willing And Able To Work 60 Hours Per Week? (40 reg, 20 OT)
How Did You Hear About This Opportunity?
If You Were Referred By Someone, Please Let Us Know Who So We Can Thank Them With A $50 Referral :-)
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Are You Eligible To Work In The US?
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Can you pass a 10 panel drug test? (This will include THC)
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Can you pass a 7 year background check?
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Please Provide The Name, Cell, And Email Of Your Emergency Contact:
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Any Other Information About You Or Your Background That Will Be Helpful In Our Screening Process?
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This form was created inside of InSync Consulting Services Inc.