COR Health Prescreen Survey

Please take a few minutes to complete the survey and we'll be in touch regarding next steps!

Full Name *

Phone *

SMS Consent *

You consent to receive SMS messages from COR Health Services for recruitment & informational purposes. Msg frequency may vary. Message & data rates may apply. Your information is secure and will not be sold to third parties. To unsubscribe, reply STOP.

If you consent to SMS communications, you will receive alerts and reminders as you progress through our selection & onboarding processes. You will be able to communicate with our recruitment team via text messaging which results in faster responses and enhances the applicant experience

Are you authorized to work in the United States? *

Yes

Are you at least 18 years old? *

Yes

Ability to work in Maine *

I currently reside in Maine

I am relocating to Maine within the next 4 weeks

I am able to commute to Maine on a daily basis for work

None of the above

Street Address

What city/town do you live in? *

State

Country

Postal code

Do you have reliable transportation? *

Yes

On what date are you available to start working? *

What is the minimum amount of weekly hours you are looking to work? *

What is the maximum number of weekly hours you would like to work? *

What shifts are you available to work? *

What days of the week are you available to work? *

What ages are you comfortable working with? *

What client gender(s) are you comfortable working with? *

No Preference

Female only

Male only