Please provide the following contact information: (* = Required)
 

*Last Name:
 

*First Name:
 

*Mailing Address:

 

* City: * State/Province: Select State/Province ALABAMA ALASKA ALBERTA AMERICAN SAMOA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA CANAL ZONE COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LABRADOR LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW FOUNDLAND NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHWEST TERRITORIE NOVA SCOTIA OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND PUERTO RICO QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON

* Zip/Postal Code:
 

* Telephone:
 

* Email:
 

How did you learn about Accurate? Select Web search Magazine My school referred me Accurate transcriptionist referred me Classified Ad Link from another site Other
 

Who can we thank for referring you?
 

Where did you receive your transcription training?
 

What date did you complete your training?
 

Are you a CMT? Select Yes/No Yes No

Do you have experience as a proofreader/editor? Select Yes/No Yes No
 

How long have you worked as a transcriptionist?
 

Are you working elsewhere currently? Select Yes/No Yes No
 

Why did you leave your last position? (or why are you looking to leave your current position?)

How long have you been looking for work?
 

What is important to you in a transcriptionist position?
 

How long would you commit to working with Accurate?
 

Can you work Monday - Friday? Select Yes/No Yes No
 

Can you work days? Select Yes/No Yes No
 

Can you work evenings? Select Yes/No Yes No
 

Can you work weekends? Select Yes/No Yes No
 

Can you work holidays? Select Yes/No Yes No

Are you able to work with a turnaround time shorter than 24 hours? Select Yes/No Yes No
 

Are you able to work with same day turnaround? Select Yes/No Yes No
 

When would you be available to start transcribing?
 

What type of transcription have you done before?
-- Hold Ctrl To Select Multiple Areas -- Hospital Single doctor office Multiple doctor office Self-employed Transcription company Other
 

What specialties are you experienced with?
-- Hold Ctrl To Select Multiple Areas -- Acupuncture Allergy/Immunology Andrology Anesthesiology Audiology Bariatrics Cardiology Chiropractic Clinical Chemistry Clinical Virology Dentistry Dermatology Emergency Medicine Endocrinology ENT Environmental Medicine Epidemiology Family Medicine Forensic Medicine Gastroenterology Genetics Geriatrics Hematology/Oncology IME/Peer Reviews Infectious Disease Internal Medicine Neonatology Nephrology Neurology Nuclear Medicine Obstetrics and Gynecology Occupational Medicine Occupational Therapy Ophthalmology Optometry Oromaxillofacial Orthopedics Osteopathy Otolaryngology Pathology Pediatrics Plastic Surgery Podiatry Preventive Medicine Psychiatry Psychology Pulmonology Radiation Oncology Radiology Reproductive Medicine Rheumatology Social Work Speech Therapy Sports Medicine Surgery Urology Vascular Medicine Other
 

What report types are you experienced with?
-- Hold Ctrl To Select Multiple Areas -- H&P Consultations Operative Reports Discharge Summaries Progress/Clinic Notes SOAP Notes Correspondence ER Radiology Reports Pathology Reports Outpatient Surgery IME/Peer Reviews EEG Reports EMG Reports EKG Reports PSG Reports Cardiac Catheterizations Other
 

What reference materials do you own?
 

Do you own spell checking software? Select Yes/No Yes No
 

Can you transcribe for doctors with accents (ESL)? Select Yes/No Yes No
 

What are your strongest skills as a transcriptionist?
 

What are your weakest skills as a transcriptionist?
 

What is your long-term career goal?

Can you commit to transcribing a minimum of 30 minutes of dictation per work day? Select Yes/No Yes No
 

What volume of work can you transcribe? Select Volume Under 2000 Lines/Week 2000 - 4000 Lines/Week 4000 - 6000 Lines/Week Over 6000 Lines/Week
 

Working from home how would you separate your professional responsibilities from your personal responsibilities?
 

What type of Internet connection do you have? Select Connection DSL Cable T1 Satelite Dial-up
 

Which version of Windows do you have? -- Select One -- 2000 XP Vista
 

Which version of Word do you have? -- Select One -- 2000 2002 XP 2003 2007
 

How old is your computer?
 

Do you have a foot pedal? Select Yes/No Yes No
 

Please paste your resume below: