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Company

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Email*

Phone*

Earliest possible start date*

Desired pay (Hourly/Salary)*

Highest academic level*

Subject studied/Major

School name*

School contact

Current or last employer name*

Job title*

Start date*

End date

Have you ever been terminated from employment or asked to resign by an employer*

If yes, please provide company names and details.*

Have you ever worked for Chinese Hospital before?*

If yes, please provide the start date and end date.*

Are you related to any former or current employee of Chinese Hospital?*

If yes, please provide individual name(s)*

Are you eligible to work in the U.S.?*

Are you at least 18 years or older?*

Will you now or in the future require sponsorship for employment visa to work in the U.S.?*

This includes sponsorship for H-1B, TN, or E-3 visas. Individuals currently on F-1 visas completing curricular or optional practical training should answer yes.

How did you hear about us?*

Please provide a referral name.*

Upload Resume*

Accepted file types: pdf, doc, docx, Max. file size: 1 MB.

If you’re having trouble submitting this form, please email your resume to talentacquisition@chasf.org with the position applied in the subject line.

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