You must provide a numerical value for your desired salary.

What are the last four digits of your Social Security Number (SSN)?

Are you legally authorized to work in the U.S.? (If hired, verification will be required consistent with federal law).

Have you ever been convicted of any crime, pleaded guilty or nolo contendere, had an adjudication withheld for any crime, and/or been released from confinement following a conviction for any criminal offense?
If yes, please give date, place, and nature of such conviction. This will not necessarily disqualify you for employment.

Are you presently charged with any violation of the law?
If yes, give date, place and nature of each such charge:

Are you currently excluded from participating in any federally funded healthcare program - including Medicare and Medicaid - or are you aware of any potential exclusion from a federally funded health program?

Have you ever been a defendant in a civil action for an intentional tort, such as harassment, fraud, defamation, assault and battery, invasion of privacy or false imprisonment?
If yes, include the nature of the intentional tort and the disposition of the action.

Have you ever worked at Mount Sinai Medical Center before?

Select the employment conditions you are willing to accept: (Press and hold CTRL to select multiple options.)

List any days, hours or shifts you are unable to work, even with a reasonable accommodation.

Languages you speak other than English:

Please select any of the following office/computer skills which you may have: (Press and hold CTRL to select multiple options.)

Have you served in the U.S. Military?
 

Are you in active reserve?