Online Interview

= required field
	First Name
	Last Name
	Address
	City
	State			Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUS Virgin IslandsUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaOntarioNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaPrince Edward IslandQuebecSaskatchewanYukon Territory
	ZIP Code
	Phone
	Email

Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

Please respond to selection that describes your highest level of education: High School or equivalent Some college coursework Two-year college degree Four-year college degree Beyond a four-year college degree

Experience:

How many years experience do you have in the position for which you are interested? No experience Less than one year At least 1 to 3 years At least 4 to 6 years At least 7 to 9 years Ten or more years

Select the type of business or industry that best matches your background experience: research related to manufacturing engineering process development electronics engineering industry aerospace research government funded research pharmaceutical, genetics or other medical-related research & development, enviromental research industrial-related chemical research other commercial business or industyr new to the R&D field,

Do you have experience in quantitative & qualitative organic analyses and/or analysis of intermediates, solvents & drug products? Yes no

Do you have any experience in clinical research in the testing of experimental drugs? Yes no

Do you have experience in performing standard clinical tests in hematology, chemistry, urine, bacteriology & serology? Yes no

Do you have any experience in the testing of DNA, mutant bacterial strains, cultured amniotic fluids and mapping genes for research? yes no

Do you have experience in developing procedures to perform perfusion techniques for immunization research of serum proteins or other clinical research? yes no

Do you have any experience in organizing a research lab for chemical testing and analyses? yes no

Do you have experience designing toxicity sheets and developing other systems, such as labeling procedures for administrative record-keeping activities in clinical experiments? yes no

Do you have any experience in working with clinical focus groups to conduct controlled experiments - including assessing dosage requirement, administering drugs, and charting patients for medical studies? yes no

Do you have experience in preparing government reports with supportive documentation to seek federal funding for clinical research? yes no

Do you have experience in the research and study of environmental sciences requiring sample collections and chemical analysis? yes no

Do you have any experience working directly with patient focus groups? yes no

Do you have experience working as a liaison with participating physicians,surgeons, clinics and laboratory personnel on clinical research projects? yes no

Do you have working knowledge of lab research tools - including operation of automated pouring equip for agar media dishes? yes no

Select the response that best describes your level of managerial experience: Coaching or Training Team/Project Leader/Supvs. Mid-Management level Executive level No managerial experience

General:

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you at least 16 years of age and eligible to work in the United States? Yes No

Are you interested in working full time or part time? Full time Part time

What type of employment are you willing to accept? Regular Long Term Contract Other temporary Any

If required for this position, how much time are you willing to travel? No travel Occasional travel Travel often Flexible

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

If extended an offer of employment, when would you be able to begin work? Immediately 1 Week 2 Weeks 3 Weeks 4 Weeks or more

Whether you have indicated part-time or full time employment preference, please indicate what annual compensation level you are looking to receive: Up to $20,000 In the $20,000 range In the $30,000 range In the $40,000 range In the $50,000 range Negotiable

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

When is the best time to reach you? From 8:00 am - Noon From Noon - 5:00 pm From 5:00 pm - 8:00 pm

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.