Contact Information |
| Prefix |
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State |
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| First Name |
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Postal Code |
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| Middle Initial/Name |
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Province |
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| Last Name |
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Home Phone(pls enter in ex:(123) 123-1234 format) |
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| Address Line 1 |
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Cell Phone (pls enter in ex:(123) 123-1234 format) |
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| Address Line 2 |
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E-mail |
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| City |
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Eligibility Criteria |
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| Are you 18 years or older?
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Are you eligible to work in the United States?
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| Please enter any press release/advertisement you are responding to. |
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| Have you been employed by Acusis in the past?
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| Have you previously interviewed with Acusis?
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| If you were referred by an Acusis employee, please note their name here: |
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| Do you have three (3) or more years of Medical Transcription experience excluding the training course period?
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What is your Internet connection from home? |
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| Are you interested in full or part-time employment?
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| What type of work are you most interested in? |
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| What are your salary expectations? (please list in terms of rate per line Ex: 8 (for 8 US cents), 12 (for 12 US cents)) |
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| What schedule are you interested in? |
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| Why are you seeking employment with Acusis?
* (Max 250 Characters) |
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Credentials |
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| Please indicate if you have the following |
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Work Experience |
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| How many years of experience do you have transcribing from home? |
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How many years of experience do you have transcribing from an in-house facility?
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What are your years of experience transcribing multi specialty clinic dictation? (Multi specialty
is defined as transcribing 3 or more specialties concurrently)
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If you have multi specialty experience, what was the size of the largest clinic you transcribed?
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What are your years of experience transcribing acute care (hospital) dictation including operative notes?
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If you have acute care experience, what was the size of the largest hospital you transcribed?
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| What are your years of experience transcribing Emergency Room dictation? |
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| Have you ever worked at a teaching hospital?
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| Have you ever worked at a tertiary care center?
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| What are your years of experience with Speech Recognition? |
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| Which 3 specialties are you most proficient in or enjoy the most? |
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| Which 3 work types are you most proficient in or enjoy the most? |
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| Which specialty are you least proficient in or enjoy the least? |
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| Which work type are you most proficient in or enjoy the most? |
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Employment |
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Please enter the name of your most recent employer. -Your employer will not be contacted without your prior consent.-
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| When did you begin this job(mm/yyyy)? |
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When did you end this job
(mm/yyyy)? If still employed please ignore to entry in the corresponding box and select "Still employed" from the box below.
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Comments 1 |
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Why are you leaving your current job?
(Max 250 characters)
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Comments 2 |
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Is there additional information you would like to provide? (Max 250 Characters)
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Please verify that information above is correct. Correct e-mail and phone numbers are very important if we need to contact you in the event of scheduling or important updates.
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