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• Full name✱
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• Current company

Links

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Healthcare Experience (Audio)

• Can you tell us about your previous experience in healthcare or clinical support roles? Please upload an audio recording of your answer.✱

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• Tell us about a change that you have had to deal with at work. How did you adapt to that change? Please upload an audio recording of your answer.✱

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• Can you describe a time when you successfully worked as part of a healthcare team? Please upload an audio recording of your answer.✱

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Demographic Survey for Mednow

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

• What is your age range?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
  • Prefer not to disclose
• I identify my ethnicity as

  Select all that apply

  • White / Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black or African American
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • South Asian
  • Other race, ethnicity, or origin
  • Prefer not to disclose
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
  • Other
  • Prefer not to disclose
• What is your sexual orientation?
  • Asexual
  • Bisexual
  • Gay
  • Heterosexual (Straight)
  • Lesbian
  • Pansexual
  • Queer
  • Prefer not to disclose