Medical Volunteer –Inquiry

Thank you for your interest in inquiring about an employment opportunity with our practice. Please fill out and submit your request below. We look forward to receiving your information and exploring the possibility of an employment opportunity

First name (*) :

Last name (*) :

Your Email (*) :

Your phone number (*) :

Your current address- Street (*) :

Your current address- City (*) :

Your current address- Zip Code (*) :

Please summarize the reason for applying as a volunteer:

Please select the type of medical assistant position of your preference:

Please indicate the number of days in a week you are interested in volunteering (*) :

Please select the duration in months you are interested in volunteering (*) :

Please indicate the preferred start date (*) :

Please indicate the preferred end date (*) :

Upload a resume (Max size 5MB) :

Please list at least one professional reference

First Name (*) :

Last Name (*) :

Title (*) :

Email (*) :

Phone number (*) :

Relationship to you:

I am submitting this inquiry with the understanding that I accept full responsibility for being truthful about all information provided as well as the understanding that this form is no guarantee of an invitation for an interview. Furthermore, if needed, I give my permission to the representative of Bodhi Medical Care, LLC to contact the professional reference listed above.

Should we reach a decision to contact you our general response time is 3-5 business days.

Please sign your request (*) :

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