Potential Strike - multi-state

Submit Request

ALLIED Tele Monitor Tech

Requirements:

BLS

-- please complete this submission form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

No

Yes

Do you have an EKG 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 experience do you have as a Monitor Tech?*

Have you worked as a Monitor Tech in the past year?*

No

Yes

At which facility have you worked as a Monitor Tech most recently?*

What are your areas of specialization?*

Can you perform a 12-lead EKG?*

No

Yes

Can you identify lethal rhythms?*

No

Yes

How many patients can you monitor at once?*

Please supply an Emergency Contact name and phone number:*