CUSTOMER SERVICE REPRESENTATIVE
Please read the Job Description, Responsibilities, and Qualifications above. Are you capable of performing all that is required to carry out this position?
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Yes
No
Maybe
Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
City of Residence
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Email Address
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example@example.com
Why would you like to work at Patient Transport?
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Are you eligible to work in the United States?
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Yes
No
Are you 18 years of age or older?
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Yes
No
Do you want full-time or part-time employment?
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Full-time
Part-time
Either
Desired Start Date
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Minimum Hourly Rate Needed ($/hr) - This will not influence the rate we offer but allows us to know if our rate will work for you. We calculate based on your experience.
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Availability: Please indicate the days you are available and your available times for each day.
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Rows
Available?
Available Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Pertinent Experience (related to patient transport or similar roles)
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What are your strengths or abilities that would help you in this role?
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Your employment would be contingent on the results of a background check and a drug screen. Is there anything that will show up on either of these that we need to be aware of?
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We are currently working out of a Mesa office. Are you willing and able to commute to the Mesa office each work day?
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Yes
No
How proficient are you with typing on a keyboard?
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Very
Somewhat
Need to work on it
How did you hear about us?
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Please Select
Referral
Online Job Board
Company Website
Social Media
Other
Do you know anyone who works for Patient Transport?
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Yes
No
If it was a referral or if you know someone at Patient Transport, what is that person's name?
Please list 3 references and how you know them (at least one must be an employer or supervisor) with their contact information.
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Is there anything else we should know to help us in our decision?
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