Job Application
Please complete the form below to apply for a position with us.
Full Name:
*
Mobile Number
*
Email Address
*
example@example.com
Age:
*
Gender:
*
Male
Female
I prefer not to say
Marital Status:
*
Married
Unmarried
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Applied:
*
First-level typing (MT)
Direct uploader (MTQA)
Quality Analyst/proofer (QA)
Both - Direct uploader/Quality Analyst
Medical Transcription Experience in years:
Radiology Transcription Experience:
*
Yes
No
If yes, please specify how many years:
Typing Speed (how many words per minute):
40-50
50-60
60-70
70-80
80+
When can you start?
/
Day
/
Month
Year
Date
Are you flexible with your work shift timings?
*
Yes
No
If yes, which shift do you prefer? (Note: Your choice doesn’t guarantee allocation, as shifts depend on client requirements). Shift options start from:
*
3:30 am
4:30 am
5:30 am
Do you work with Foot Pedal?
*
Yes
No
Minimum Salary Expectations:
*
Previous Company Name
Reason for leaving
Last 6 Months Average Salary:
*
Salary mentioned here must match any provisional salary slip/bank statement/relieving letter. Discrepancies will be dealt with re-negotiation of salary.
How many days are/were you working in a week in your current/last company?
*
5 days
6 days
7 days
None of the above
How many hours do you work on an average in a single day excluding break-time ?
*
How many lines do you type per day on average, excluding breaks, based on the hours as mentioned above?
Qualification/Education
Please Select
Undergraduate
Graduate
Post-Graduate
Medical History
*
Allergies or Asthma
Alcoholism
Anemia
Back Problems
Blood Pressure
Breast Disease
Cancer
Carpal Tunnel Syndrome (CTS)
Depression
Diabetes
Drug Abuse
Eczema
Eye Problems
Epilepsy or Seizures
Heart Disease
Hemorrhoids
Hepatitis
Kidney Disease
Liver Disease
Lung Disease
Migraines
Hernia
Thyroid Disease
Other
None
Tell us briefly about yourself:
We are looking for a long-term relationship where you will be required to work in a 9-hour shift. Do you have any plans in the next 2 years, e.g. further studies, marriage, pregnancy or other future commitments? If yes, please specify:
*
If your application is successful, how many days do you prefer to work?
5 days
6 days
7 days
Have you worked with Achillez Transcription Solutions before?
Yes
No
If yes, when?
Referred by:
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