ALLIANCE MT, INC.
Job Application
Please complete all information below as accurately as possible.  You may attach your resume after
clicking the "Submit" button below.  A representative will contact you to arrange testing.  Thank you again
for your interest in Alliance!
Full Name
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Wk. Phone
State Issued
DL #
E-mail
When are you available to begin work?
If requested, could
you work a weekend
schedule?
What days/hours are you available for work?
Yes
No
Are you interested in full-time or part-time?
F/T
P/T
Have you ever worked on a production basis?
Yes
No
Specialty Applied For
High-speed Internet?
Do you own a computer?
Yes
No
Word Processing Program?
Is your employment history specifically in medical transcription?  If the
answer is "no", please STOP HERE.
Yes
No
Current operating system?
Other than your computer, do you own other
transcription equipment?  If so, please list.
Highest Level of Education
Are you a certified medical transcriptionist?
Yes
No
Are you eligible to work in the United States?
Yes
No
Have you ever been convicted of a felony?*
Yes
No
WORK EXPERIENCE
(You may email your resume to mwade@alliancemt.com or copy and paste it below).
*Please note, a background check is conducted on all prospective applicants.  
Please click here for
Background Authorization.