Application Form:
Advanced Sleep Treatment
10230 New Hampshire Ave, Suite 330
Silver Spring, MD 20903
(301)439-8333
info@advancedsleeptreatment.com
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Full Name:
E-mail: *
Phone Number: *
City & State you reside in: *
What are three of your most unique and significant strengths, as you would describe them? *

Why do you want to work with us and why do you think you’d be a valuable addition?


*
On a scale of 1-10, 1 being needs training and 10 being superstar level, how would you rate your expertise and/or skill level (and yes, we will test you on these later) in: Communication Skills (answering phones, greeting patients, scheduling)? *

Computer Skills (Word, Excel, EHR, Teams)?

*
Basic Math?
*
Multi-tasking?
*
Filing / Alphabetizing? *
Handling Insurance Benefits? *
Hands-On Patient Care?
*
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