Careers | Phlebotek

First Name

Last Name

Email

Phone

Address

City

State

Zip Code

Do you have a Phlebotomy certification or diploma?

Yes

Yes, but it is expired

No

Professional References

Please provide two references Name and Phone Number

Upload Resume

Resume should include two references.

Certifications and Diplomas

List any certification or diplomas you have

Phlebotomy Experience in Years

How many years of experience do you have drawing blood?

How many total blood draws have you performed?

I've performed the following phlebotomy services

Drawing blood via venipuncture

Drawing blood via fingersticks

Capillary Blood Sample from fingerstick

Drawing large amounts of blood (donor level)

Centrifuging specimens

Speciality Lab Kits

Experience with Pediatrics

Experience with Geriatrics

Packaging and shipping out specimens

Mobile phlebotomy

In home patient care or visits

TRUE

FALSE

I've performed the following medical services

COVID-19 Screenings

Conducted COVID-19 Training Safety Precautions

Dialysis

Drug Testing (Non D.O.T.)

EKG / ECG

Ear lavage

Experience with Geriatrics

Experience with Pediatrics

Hair collection

Hematocrit / Amino Acid Reading

IV treatment or IV Start

In home patient care or visits

Measuring height and weight

Medical History Interview & Documentation

Recording pulse

Saliva collection

Taking blood pressure

Urine or stool collection

Vaccine administration

X-Ray

I have these medical supplies or equipment

Phlebotomy equipment

Weight Scale

Blood Pressure Cuff

Ice Cooler

Scrubs

Lab Coat

Measuring Tape

Stethoscope

EKG or ECG Machine

Scale

Do you have a centrifuge?

Yes

No

FALSE

TRUE

I own or have access to these items

Mobile Cell Phone

Mobile Cell Phone w GPS (maps)

GPS unit

Personal Vehicle

Personal Computer

Fax Machine

Scanner

Printer

What languages do you speak?

Spanish

Russian

Chinese

Vietnamese

Korean

French

German

Italian

Polish

Other

Besides English, what other languages to you speak?

What else have you done?

Anything we should know about you or your work experience?

Confirmation

I confirm that my information is True

I lied on my application

Is your information true and accurate?

Register with Phlebotek