Med-Scribe Secure Employment Application Form

IMPORTANT: Individual jobs need to be listed for each position held for the last 5 years. Do not cut and paste your resume. Applications must show a complete employment history for the past five years. Please follow instructions in blue bars above each section.

PLEASE READ BEFORE BEGINNING THIS APPLICATION: Only one application is needed every six months. Please ONLY send us the numbers of the positions for which you would like to be considered. NYC residents: YOU ARE NOT REQUIRED TO RESPOND TO SALARY OR CONVICTION QUESTIONS. To be considered for additional positions after application is submitted, please call 585-586-0790 and have the job number available, or email the job number to medjobs@medscribe.com with your name in the subject line. Thank you.

Med-Scribe, Inc. is an Equal Opportunity Employer / Minority / Female / Disability / Vet.

Mandatory fields marked with *

General Information
(Last)
(First)




(Please hold ctrl or command to select more than one position.)




ALL LICENSED PROFESSIONALS MUST COMPLETE OR YOUR APPLICATION WILL NOT BE CONSIDERED






NYC residents: YOU ARE NOT REQUIRED TO RESPOND TO CONVICTION QUESTION.
Criminal convictions are not necessarily a bar to employment; we evaluate the job-relatedness of the conviction
  • the nature and gravity of the criminal offense or conduct
  • the nature of the job (including where it is performed, how much supervision and interaction with others the employee will have, and so on), and
  • how much time has passed since the offense or sentence.

Education
Personal References (no relatives) who have known you for at least one year:

Name, Address, Phone, Occupation*

Work Experience (Incompleteness will not be interpreted in your favor):
1. Dates of Employment (Start with most recent position first)
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
NYC residents: YOU ARE NOT REQUIRED TO RESPOND TO SALARY QUESTIONS.
If this is your 1st job and you have no previous employment history, please enter NA (Not Applicable) in all the fields below.
Click to Add Work Experience #2
2. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #3
3. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #4
4. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #5
5. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #6
6. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #7
7. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #8
8. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #9
9. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
Click to Add Work Experience #10
10. Dates of Employment
IMPORTANT - individual jobs need to be listed and questions answered for each position held for the last 5 years
If you have additional working experience please list below:
(Do not copy and paste your resume

I declare that the statements made in this application (including statements made in accompanying papers) have been examined by me and that they are true and correct. I understand that falsification of this application is grounds for immediate termination.

Upon successfully submitting your application, you will be redirected to our Voluntary Information form. Thank you!