2019 Seattle Work Stoppage Application
THANK YOU very much for your interest in working with InSync. Please take 3 minutes to tell us a little about yourself. One of our experienced staff will contact you within 24 hours to tell you more about this exciting opportunity.
First Name
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Last Name
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Cell Number
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Re-Confirm Cell Number
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Alternate Phone Number
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Email Address
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Re-Confirm Email Address
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Mailing Address, Street
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Mailing Address, City
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Mailing Address, State
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Mailing Address, Zip Code
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What Position Are You Applying For:
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, Security Guard Card...etc. If you possess any, please list them here:
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Do you have experience in working in a healthcare facility?
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?
Can you pass a 10 panel drug test? (This will include THC)
Can you pass a 7 year background check?
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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