Career Center

Application

Please complete the questionnaire below and submit it along with your up-to-date resume. Fields with an * are required.

Name: *     Phone: *       Alternate Phone: Email: * Address: * City: * State: * Zip Code: *

Do you have a high-speed internet connection? * Yes No

Do you have a PC compatible foot pedal? * Yes No

What version of windows do you use? * WindowsXP Windows Vista Windows 7 Windows 8 Other versionof Windows

Do you want to work full or part time? * Full time Part time

I am primarily interested in working as an: * Independent Contractor Employee Either

When are you available to work? *

I can work any schedule       Monday Tuesday What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None Wednesday Thursday What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None Friday Saturday What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None Sunday What Shift? * Select Shift First(7am-3pm) Second(3pm-11pm) Third(11pm-7am) Any None

Are you currently employed? * Yes No

If currently employed, are you interested in supplementing this job or replacing it? * Replace Supplement

When are you available to start? * Does anyone else use your computer? * Yes No

Please list below the amount of time you have actually transcribed each particular work type(s): *

Total years as a transcriptionist: 0-2 3-4 5+

Emergency Room: * Operative Reports: * Discharge Summaries: * Consultations: * History and Physicals: * Clinic Notes: * General Practice: * Editing/QA: * Supervisor/Lead MT: * Other:

What are your average lines transcribed per hour? *

Do you have a good reference library? * Yes No

Specifically, what equipment do own for an at home position? * (Seperate each entry by a ",")

What Voice Recognition software are you proficient with? * (Seperate each entry by a ",")

Professional References: *(Seperate each reference by a ",")

References: * I authorize United to contact my references.

Attach your resume: *