Cardiac Cath Lab Manager

Full Name *

Full Address (Will need for formal offer letter) *

Cell Phone Number *

Home Phone Number

Email *

Preferred Method of Contact (Text, Cell, or Email) *

Are you open to working on-site? *

Yes
No

Are you only interested in remote opportunities? *

Yes
No

Are you open to working in a hybrid (some on-site) situation? *

Yes
No

What are you targeting for base salary? *

Most Recent Benefits Package (This information will be helpful as we negotiate offers on your behalf): Vacation Time/PTO

Sick days

401(k) Match

Profit Sharing

Company Stock

Benefit Premiums

Other Perks (Tuition Reimbursement, Telecommuting, Cell Phone Allowance, Company Credit Card, etc.)

Do you believe your current employer would make a counter-offer to keep you? *

Yes
No

Do you have a non-compete or reimbursement clause for tuition or relocation assistance? *

Yes
No

Are you eligible to work in the US without need for sponsorship now or in the future? Proof of identity/work authorization will be required upon employment. *

Yes
No

If selected for employment, are you willing to submit to a background check and drug screen? *

Yes
No

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