Medical Transcription Job Application Form

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:
Marital Status:
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Applied:
Medical Transcription Experience in years:
Radiology Transcription Experience:
If yes, please specify how many years:
Typing Speed (how many words per minute):
When can you start?

DayMonthYear
Date
Are you flexible with your work shift timings?
If yes, which shift do you prefer? (Note: Your choice doesn’t guarantee allocation, as shifts depend on client requirements). Shift options start from:
Do you work with Foot Pedal?
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?
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
Medical History
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?
Have you worked with Achillez Transcription Solutions before?
If yes, when?
Referred by:
Upload Your Resume

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