Planned Parenthood of Maryland

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Full name✱
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- Custom
Email✱
Phone ✱
Current location
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Current company

Links

LinkedIn URL

COVID-19 Vaccination

Do you have your COVID-19 Vaccination?✱
- Yes
- No
If you answered NO and are selected for employment at PPM, would you be willing to receive your first COVID vaccination prior to starting AND receive your second COVID vaccination within 3-4 weeks after beginning employment?✱
- Yes
- No
- N/A (I have my COVID-19 vaccination)

Bilingual

Do you speak Spanish?✱
- Yes
- No

Hourly Pay Rate desired

What is your desired rate of pay per hour?✱

Planned Parenthood prior/current employer

Have you ever worked for Planned Parenthood? (choose all that apply)✱
- I am currently employed at Planned Parenthood
- I was employed at Planned Parenthood in the past
- I have never been employed by Planned Parenthood
- Other: I have volunteered at a Planned Parenthood event

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

Medical Assistant