CLINICAL SCRIBES LLC
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Colorado Medical Scribe Application
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Address line 1
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Zip Code
*
College/University attended:
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Major
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Cumulative GPA
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4.0
3.9
3.8
3.7
3.6
3.5
3.4
3.3
3.2
3.1
3.0
2.9
2.8
2.7
2.6
2.5
Graduation Month
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January
February
March
April
May
June
July
August
September
October
November
December
Graduation Year
*
How did you hear about Clinical Scribes LLC?
*
College pre-health advisor
College job/internship site
Indeed job posting
Print media
Referral
Web search
Other
If referred or other, please explain:
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Why do you want to be a medical scribe?
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What are your long-term goals?
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If you plan on applying for graduate school in the future, when do you anticipate beginning your education?
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2018
2019
2020
2021
2022
Typing ability is important as a medical scribe. Although being a fantastic typist is not essential, it can make your job easier. Take this
typing test
to see how fast you can type.
Based on your results from the link above, how many words per minute can you type?
*
Are you interested in full-time or part-time employment?
*
Full-time
Part-time
What are your desired number of hours worked per week?
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When are you available to start working?
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Are you able to work for a minimum of 12 months?
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Yes
No
Do you have a reliable mode of transportation?
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Yes
No
Monday Availability - Start Time
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12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Monday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Tuesday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Tuesday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Wednesday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Wednesday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Thursday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Thursday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Friday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Friday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Saturday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Saturday Availability - End Time
*
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Sunday Availability - Start Time
*
12am
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
Not Available
Sunday Availability - End Time
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1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
11:59pm
Not Available
Resume
*
Max file size: 20MB
Please attach a copy of your current resume.
Unofficial College Transcript
*
Max file size: 20MB
Please attach a copy of your unofficial college transcript
Submit
About Us
For Providers
For Scribes
Contact Us
Provider Interest Form
Minnesota Application
Colorado Application
Employee Portal
Employee Documents
Recruiting & Referrals
Privacy Policy