Pre-Interview Survey

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Are you familiar with the G&M Venture Holdings Brands?* This field is required.G&M Medical Center, G&M MedSpa, G&M Primary Care, G&M Urgent Care, G&M Travel, G&M Veteran Nexus Solutions

YESNO

5

When are you available to start?* This field is required.

Date

6

Which of the available postions are you interested in?

Guest Representative

Esthetician

Medical Assistant

Provider - NP

PRN - Provider (As needed)

PRN - Medical Assistant (As needed)

PRN - Guest Representative (As needed)

7

What is your requested hourly rate?* This field is required.

8

How many hours are you seeking to work weekly* This field is required.

9

Preffered working hours? (If any state "open")* This field is required.

11

We have multiple locations, what location are you interested in?

Rio Rancho (528 and Southern)

Bernalillo (Opening in May)

12

Are these locations too far from your home?

YESNO

13

Would you like to attach any documents? (Resume, CV, Licenses, Certifications, etc)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Anything else you would like us to know?* This field is required.

15

Do you have any hour restrictions, or any other type of restriction?