Applicant Information

 

Please fill in the following information.  When finished click the continue button to begin the test. IT IS IMPERATIVE THAT YOU COMPLETE THE TEST IN ONE SITTING AS YOU WILL NOT BE ALLOWED TO RE-ENTER THE TEST SITE AND FINISH IT WITHOUT A 3-MONTH WAITING PERIOD.

 

NOTE: On abbreviations, it is important that you NOT use capital letters or the test will not score correctly. Pay close attention to this feature!

First / Last Name
Street Address
City / State / Zip
Phone Number
E-Mail Address
Country
   
Total MT Experience
Position Desired Acute Care
Clinic
Radiology
Entry Level
  

APPLICANT VOLUNTARY SELF I.D. FORM

Dear Applicant:

Qualified applicants are considered for employment with TRS without regard to Race/Color, National Origin/Ancestry, Sex, Religion, Age, Mental or Physical Disability, Veteran Status, Medical Condition, Marital Status, Sexual Orientation, or Pregnancy.

This Pre-Employment Information will be kept in a Confidential File and will be used for government reporting purposes only. Completion of this form is voluntary and will not affect or influence your application in any way.

To help us comply with Federal and State Equal Employment Opportunity record keeping, reporting, and other legal requirements, we would appreciate you answering the questions below:

 

Sex:

Male
Female

Race/Ethnic Group:

White/Caucasian
Asian/Pacific Islander
American Indian/Alaskan Native
Black/African American
Hispanic

Are you a Vietnam Era Veteran?

Yes
No

If yes, are you a Disabled Vietnam Era Veteran?

Yes
No

Are you a Disabled Veteran?

Yes
No

Do you have a Mental or Physical Handicap?

Yes
No

If yes, describe what accommodations are necessary for you to perform the job applied for: