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Black Doctors COVID-19 Consortium -Employment Application
Do you have a strong desire to be a part of this COVID19 solution and can help provide services? If so, we greatly want to hear from you!
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First Name:
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Your answer
Last Name:
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Your answer
Email Address
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Your answer
Phone Number:
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Your answer
Which position are you interested in?
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Choose
Internal Medicine Physician
Licensed Practical Nurse
Mobile Home Vaccination Nurse
Development/ Office Assistant
Claims Administrator
Claims Processor
Claims Clerk
Recruiting/Human Resources Consultant
Data Entry Specialist
Home Vaccination Scheduler
Please list the type and date of 1st and 2nd COVID-19 vaccination shot. [E.g. Moderna 1/1/21 & 1/25/21]
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Your answer
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