Healthcare Job
Application Form

Thank you for your interest in joining the healthcare workforce through Work Recruiting Agency. Please complete this detailed application form to help us understand your qualifications and match you with the right opportunities.
(Questions marked by * are required.)

          Full Name *


          Email *


       Phone Number *


     Mailing Address *


     City *


     State *


           Position Applied For:*
          Telehealth Psychiatrist - $100–$150/hour
          Licensed Practical Nurse (LPN) - $22–$35/hour
          Respiratory Therapist (RT) - $30–$50/hour
          Physician (MD/DO) - $120–$200/hour
          Physical Therapist (PT) - $45–$65/hour
          Medical Technologist (Lab Tech) - $25–$40/hour
          Registered Nurse (RN) - $35–$55/hour
          Nurse Practitioner (NP) - $50–$70/hour
          Certified Nursing Assistant (CNA) - $18–$25/hour

            How many years of experience do you have in this field?*


             Preferred Work Location(s):*


          Preferred Work Schedule:*
         Full-Time
         Part-Time
         Night Shifts
         Telehealth/Remote

          Preferred Salary method: *
         Per Hour
         Weekly
         Monthly

           When are you available to start?*


           Highest Level of Education Achieved:*
         High School Diploma
         Associate’s Degree
         Bachelor’s Degree
       Master’s Degree
         Doctorate (MD, DO, PhD, etc.)

          Do you have any relevant certifications/licenses for your role?*


           List any healthcare-related technical skills you possess:*


          Are you currently employed?*
         Yes
         No

          As part of the hiring process, you will be required to undergo a
          one-week training session. This training will serve as part of the test           phase to assess your suitability for the role. Are you willing to           participate in this training online zoom assessments test?
         Yes
         No

       I certify that all information provided in this application is accurate and         complete to the best of my knowledge. I understand that any falsification         may disqualify me from employment consideration or result in         termination if hired.*
         Yes
         No

Address

33601 PINEVIEW FRASER MI 48026-5046 USA

Healthcare Job Application Form

Address

Contacts info@workrecruitingagency.online

Healthcare Job
Application Form

Contacts

info@workrecruitingagency.online