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Formulario de solicitud

Application

Posición
Position Type
How did you hear about us?

Section 1: Personal Information

Cumpleaños
Día
Mes
Año
Dirección de varias líneas

Section 2: Emergency Contact

Section 3: Legal Background

¿Está usted autorizado para trabajar en los Estados Unidos?
No
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa)?
Yes
No

Section 4: Criminal Background

Have you ever been convicted of a criminal offense?*
Yes
No

Section 4: Academic Information

Highest Level of Education Completed
Do you have a professional license?
Yes
No
Type of professional license (Select all that apply) *
¿Alguna vez le han suspendido, revocado o puesto bajo investigación su licencia profesional?
No
¿Está usted actualmente o ha estado alguna vez sujeto a una acción disciplinaria por parte de un organismo de licencias o certificación (por ejemplo, junta estatal, empleador o agencia reguladora)?
No

Section 5: Demographic & Background Information (Optional)

Are you a U.S. Military Veteran
Yes
No
I don’t wish to answer
Do you have a disability?
Yes
No
I don’t wish to answer
Gender
Male
Female
I don’t wish to answer
Race / Ethnicity (select all that apply)
Languages Spoken (check all that apply)

Section 6: Referrences *

Section 7: Documents *

Section 8: Scheduling Interview *

Do you prefer the interview via
Please pick a day and time
Mayo de 2026
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Week starting lunes, 11 de mayo
Zona horaria: tiempo universal coordinado (UTC)Online meeting
viernes, 15 may
10:00 - 11:00
11:00 - 12:00
12:00 - 13:00
13:00 - 14:00

Equal Opportunity & Non-Discrimination Statement

Vital Solution LLC is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants. Employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, ancestry, age, disability, marital status, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.

Criminal Background Disclosure & Authorization

Vital Solution LLC may conduct background checks in accordance with applicable federal, state, and local laws. A criminal history does not automatically disqualify an applicant from employment. All relevant factors will be considered, including the nature and gravity of the offense, the time that has passed since the offense or completion of the sentence, and its relevance to the responsibilities of the position.

By signing below, you authorize Vital Solution LLC to obtain consumer reports and/or investigative consumer reports for employment purposes, including but not limited to criminal background history, in compliance with the Fair Credit Reporting Act (FCRA) and applicable state laws. You understand that this authorization may be used to obtain such reports at any time during the hiring process and, if hired, during your employment, as permitted by law.

Applicant Acknowledgment & Consent

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from consideration or termination of employment if discovered at a later date.

I acknowledge that I have read and understand the Equal Opportunity & Non-Discrimination Statement and the Criminal Background Disclosure & Authorization provided above. I voluntarily consent to the terms outlined and authorize Vital Solution LLC to conduct background checks as described.

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Servicios de telesalud

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Cumplimiento de HIPAA

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Profesionales con licencia

Se habla español

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Desarrollado por Vital Solution LLC.

 

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