Thank you for your interest in employment with Satellite Med! Please fill out our online application below. By submitting this form, you are attesting to the validity of any and all information and statements contained herein.
If you are selected for further consideration, a Satellite Med Representative will contact you. Please reapply annually
Fields marked with an asterisk * are required.If a required field doesn't apply to you, type N/A.

First Name* :
Middle Initial* :
Last Name*:
Address* :
Address 2 :
City* :
State* :
Zip* :
Primary Phone #* :
Secondary Phone # :
Email Address* :
SSN #* :


Have you been employed at Satellite Med previously? : Yes No
If so :
Reason for leaving :
Previous position :
Employment dates :


Please list any certifications or medical background information* :
Have you ever been convicted of a felony? : Yes No
If yes, please give details :
Can you provide proof of US citizenship? : Yes No

Our break policy is as follows:
* Employees working 6 hr shifts get one paid 10 minute break, and an unpaid 30 min lunch.
* Employees working 8+ hr shifts get two paid 10 minute breaks, and an unpaid 30 min lunch.
Can you adhere to our break policy without problems? : Yes No



Position Applying for (click job name for job description):
Billing
Dispensary
Radiology
Billing Associate
Dispensary Technician - CPhT
Radiology Technician
Ultrasound Technologist/Sonographer
Management
Nursing
General Office
Billing Supervisor
Dispensary Supervisor
Front Office Supervisor
Nursing Supervisor
Radiology Supervisor
Lab Supervisor
Certified Medical Assistant
LPN
Medical Assistant
Patient Care Technician/Paramedic
Phone Nurse(MA/LPN)
Human Resources
IT Support Tech
Marketing/Public Relations Specialist
Medical Office Administrative Assistant
Nurse Practitioner
Office Manager
Physician
Physician Assistant
Software Developer
Administrative Assistant
Front Office
Lab
Scribe
Patient Advocate
Receptionist
Medical Laboratory Technician
Scribe

If you would like to be considered for more than one position, please list addition positions here, seperated by a comma(,).

Most recent previous employer:
Company Name* :
Company Address* :
Company Phone* :
Supervisor* :
May we contact? : Yes No
Job Description* :
Rate of pay* :
Still employed here? : Yes No
Dates of employment *:
Reason for leaving* :

2nd most recent employer
Company Name :
Company Address :
Company Phone :
Supervisor :
May we contact? : Yes No
Job Description :
Rate of pay :
Still employed here? : Yes No
Dates of employment* :
Reason for leaving :

3rd Most recent Employer
Company Name :
Company Address :
Company Phone :
Supervisor :
May we contact? : Yes No
Job Description :
Rate of pay :
Still employed here? : Yes No
Dates of employment* :
Reason for leaving :



Education information
Highest Grade completed* :
College Name * :
College Degree * :
College Graduation year * :
High School name* :




References
Please list at least 3 personal or professional references. You may list additional references on your resume if you wish.
Reference 1* : Years known*: Phone #*:
Reference 2* : Years known*: Phone #*:
Reference 3* : Years known*: Phone #*:


A resumé is required for consideration. You must upload a resumé to be considered for employment. Please name the resumé with your first and last name. (ex: JoeSmith.pdf)
Upload a resumé(Must be pdf,doc,docx,rtf,txt,or odf format)*: