Planned Parenthood of Illinois

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Full name✱
Email✱
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Current company

Links

LinkedIn URL
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GitHub URL
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Other website

Reliable Transportation

If hired, would you have reliable transportation to the employment locations?✱

References

If selected to interview for this role, will you be able to provide professional references and their contact information?✱

Work Eligibility

If hired, can you provide verification of US citizenship or your legal right to work in the US?✱

Medical Assistant Questions

Pronouns✱
- She/Her/Hers
- He/Him/His
- They/Them/Theirs
- Other
Are you familiar with Planned Parenthood?✱
What Planned Parenthood services are you familiar with?✱
Planned Parenthood provides in-clinic and/or medication abortion services. Would you be comfortable working for a clinic that provides abortion services and assisting in an abortion procedures?✱
Planned Parenthood provides gender-affirming hormone therapy to patients. Are you comfortable providing services to a person who identifies as transgender or non-binary?✱
What is your experience with electronic health records software? Explain. (Be as detailed as possible)✱
Explain your experience handling front-desk registration, messaging or call-handling in a medical setting. (Be as detailed as possible)✱
Do you speak any other languages? Are you fluent?✱
Do you have any scheduling limitations? (i.e. can’t work certain days, can’t work Saturdays, etc.) Explain what scheduling limitations you have.✱
Please list any specialized trainings and/or certifications✱
The compensation for the position is $20.15/hour plus benefits, and includes a sign-on/retention/competency bonus of $2,000 that is paid throughout the first year of employment ($500 on the first paycheck). Is this compensation something you would be comfortable with?✱

Electronic Signature

By submitting this electronic application, I hereby authorize and consent to the release of my personal information as described in our Privacy statement. I further understand and agree to the use of an electronic method of signature to demonstrate my acceptance of the terms and conditions of this EMPLOYMENT application.✱

Additional information

U.S. Equal Employment Opportunity information (Completion is voluntary and will not subject you to adverse treatment)

Our company values diversity. To ensure that we comply with reporting requirements and to learn more about how we can increase diversity in our candidate pool, we invite you to voluntarily provide demographic information in a confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process, and has no effect on your opportunity for employment.

Gender

Race

Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races.

Veteran status