Complete this form to submit your application. Your application won’t be admitted until you click the “Submit” button at the end of this form.

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Which position are you applying for? (Required.)

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Name (Required.)

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Address

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Phone (Required.)

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What is your preferred way of contact? (Required.)

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Are you legally authorized to work in the United States? (Required.)

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Do you have a reliable form of transportation? (Required.)

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Are you seeking full-time, part-time, or PRN employment? (Required.)

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Employees typically have a primary home-office location. However, our practice has four locations in Lawrenceville, Dacula, Sugar Hill, and Duluth, approximately 10–18 miles apart. Employees may occasionally be asked to provide temporary coverage at another location due to staffing needs.

Are you willing and able to travel between these locations when coverage is needed? (Required.)

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Our office hours may vary seasonally by location. Depending on staffing and scheduling needs, employees may be required one to two days per week to begin work as early as 7:00 a.m. or remain at work as late as 6:00 p.m.

Are you willing and able to work these occasional early or late shifts when scheduled? (Required.)

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Our Lawrenceville location offers Saturday urgent care hours from 9:00 a.m. to 12:00 p.m. Saturday coverage rotates among staff members from all locations, and employees may be scheduled approximately one Saturday per month.

Are you able to work at least one Saturday rotation? (Required.)

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What is the highest level of education you have completed?

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Please select any healthcare licenses, certifications, or training you currently hold

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Most recent employer name, position, dates employed, supervisor, and primary responsibilities

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Reason for leaving.

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May we contact this employer?

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Please provide two or three professional references.

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How did you hear about this position? (Required.)

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Upload your resume (Required.)

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Upload your cover letter (Optional)

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Anything else you would like us to know about you?

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