Potential Multi-state Strike
Submit Request
Cytotechnologist
Requirements
:
ASCP
BLS
First Name
*
Last Name
*
Email
*
Phone
*
Do you have BLS certification?
*
No
Yes
Do you have ASCP certification?
*
No
Yes
List any other certification you have:
*
What specialties do you float to?
*
Do you have the COVID Vaccination?
*
No - Requesting Exemption
Yes - Vaccinated
Yes - Vaccinated with Booster
Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?
*
No
Yes
Can you work a Day shift?
*
No
Yes
Can you work a Mid shift?
*
No
Yes
Can you work a Night shift?
*
No
Yes
What is your Primary Shift preference?
*
Day
Mid
Night
100% Flexible
How many years Cyto Tech experience do you have?
*
None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
Have you worked as a Cyto Tech in the past year?
*
No
Yes
What Facility have you worked as a Cyto Tech most recently?
*
How much experience do you have as a Medical Lab Tech?
*
None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
What are your areas of specialization?
*
Do you have experience in a Blood bank?
*
No
Yes
Do you have experience as a Chemistry tech?
*
No
Yes
Do you have experience in Hematology and Immunologoy tech?
*
No
Yes
Do you have experience in Microbiology Tech?
*
No
Yes
Do you have experience in Molecular Biology?
*
No
Yes
What equipment and brands do you have hands-on experience with?
*
Please supply an Emergency Contact name and phone number:
*
