Job Application for Burn Registrar at Q-Centrix

First Name

Last Name

Phone

Resume/CV

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Cover Letter

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Do you have clinical data abstraction experience within the last 12 months?

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Abstraction Experience

Do you gave experience abstracting for the American Burn Association?

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Have you ever applied to Q-Centrix using a different name in the past?

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Legal Name

Work Eligibility Question

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Will you now or in the future require sponsorship for employment (e.g., H-1B visa, OPT, etc. status)?

How did you find us?

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Additional Information:

Please list the name of your referral and/or how you found us if not in the drop down.

What are your salary requirements?

Please select the statement below that best matches your employment status with Q-Centrix?

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