Potential Multi-state Strike
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Histology Assistant - ALLIED
Requirements
:
ASCP certification (preferred)
First Name
*
Last Name
*
Email
*
Phone
*
Do you have BLS certification?
*
No
Yes
Do you have ASCP certification?
*
No
Yes
What is your ASCP number?
*
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?
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No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
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No
Yes
What is your Primary Shift preference?
*
Day
Mid
Night
100% Flexible
How many years experience do you have as an Histology Assistant?
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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 this as an Histology Assistant in the past year?
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No
Yes
What Facility have you worked as an Histology Assistant most recently?
*
What are your areas of specialization?
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Do you have any experience with muscle or kidney biopsies?
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No
Yes
Do you have any experience with immunohistochemistry staining?
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No
Yes
Do you have any experience with dermatology specimens?
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No
Yes
Do you have any experience with frozen sectioning?
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No
Yes
Please supply an Emergency Contact name and phone number:
*
