Colorado Application

CLINICAL SCRIBES LLC

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Colorado Medical Scribe Application

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address line 1 *

Zip Code *

College/University attended: *

Major *

Cumulative GPA *

Graduation Month *

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: *

Why do you want to be a medical scribe? *

What are your long-term goals? *

If you plan on applying for graduate school in the future, when do you anticipate beginning your education? *

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? *

When are you available to start working? *

Are you able to work for a minimum of 12 months? *

Yes No

Do you have a reliable mode of transportation? *

Yes No

Monday Availability - Start Time *

Monday Availability - End Time *

Tuesday Availability - Start Time *

Tuesday Availability - End Time *

Wednesday Availability - Start Time *

Wednesday Availability - End Time *

Thursday Availability - Start Time *

Thursday Availability - End Time *

Friday Availability - Start Time *

Friday Availability - End Time *

Saturday Availability - Start Time *

Saturday Availability - End Time *

Sunday Availability - Start Time *

Will the availability you entered above change in the next 12 months? If yes, please explain. *

Sunday Availability - End Time *

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
Employee Portal
Privacy Policy