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Employment Application

IMSTechnologyGroup.com | 800.803.3685

Your Contact Information

First Name*

Middle Name

Last Name*

E-mail Address*

Phone*

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Which position are you applying for?*

Scan Department Clerk

Job Requirements

Document preparation for scanning by removal of staples, clips, fasteners; organize and stage for scanning.

Operation of imaging tools for use in the creation of electronic files or archives.

Perform quality checking of documents/images being converted to digital format and ensure hardcopy documents are electronically captured and images are equal to or exceed the quality of the original.

Perform indexing of electronic documents to include all required metadata.

Troubleshoot and adjust equipment when necessary.

Clean and perform basic maintenance on equipment.

Rely on instructions and pre-established guidelines to perform the functions of the job.

Maintain a clean and organized work area.

Complete all assigned tasks accurately and in a timely manner.

Type of employment desired. Please select all that apply.*

Full-Time

Part-Time

Briefly tell us why you are a perfect fit for this position.*

Employment

Would you like to attach a Resume?*

Yes

No

Attach your resume and any additional documentation here*

Take Picture/Video

Work History (Most Recent First)*

1. Employer Name & Address*

Supervisor Name & Phone Number*

Dates Employed (Month & Year)*

Duties Performed*

Reason for Leaving*

2. Employer Name & Address

Supervisor Name & Phone Number

Dates Employed (Month & Year)

Duties Performed

Reason for Leaving

3. Employer Name & Address

Supervisor Name & Phone Number

Dates Employed (Month & Year)

Duties Performed

Reason for Leaving

Availability

On what date are you available to start work?*

Education*

Please list your education history starting with the most recent first. Include: school name, location, years attended, degree received and Major

List any additional information you think is pertinent to the position you are seeking:

Acknowledgement and Authorization.*

I certify that answers given herin are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized execcutive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I have read and understand the Acknowledgement and Authorization*

Name*

Date*

All candidates will be required to pass background checks, drug screening, and HIPAA compliance training.