Dear nursing candidate and everyone else welcome to my QUICK Online Interview! My name is Martin A. Briggs Nurse Staffing Director for ATC Healthcare Services, LLC.  I look forward to working with you!


I need you to please complete the interview form below to take your first step toward your career with ATC Healthcare Services and/or associated employers.  All questions require an answer as they will help us offer you job opportunities that best fit your skill set and preferences.

I will review the results of your responses and do my best to place you in the healthcare job the best fits what you’re looking for!  Please be thorough and truthful in your responses as that will help me lead you to the most optimal job placement for you.

First Name*

Last Name*


Cell Phone*

Tell me the name of your neighborhood and your zip code so I know what part of town you live in*

Is it OK to communicate with you through cell phone text messages?*

A $200 referral bonus is given to every ATC employee that refers a friend. Who referred you? Write n/a if not applicable*

Which best describes your job classification?*
AccountingAdministratorClerical/Admin AsstBehavioral Health TechMedical Billing/CoderCaregiver/SitterCertified Nurse Assistant (CNA)ChaplainActivities CoordinatorStaffing CoordinatorNurse Assistant (NA)Instructor/EducatorMedical Lab Tech (MLT)PhlebotomistMedical Assistant (MA)Medical Clerk/ReceptionistLicensed Practical Nurse (LPN)Registered Nurse (RN)Nurse Practitioner (NP)Certified Nurse MidwifeSurgery/Scrub TechOccupational TherapistCOTAPharmacy ProfessionalPhysical TherapistPTASonography/Ultrasound TechRespiratory TherapistRadiology TechSpeech Language PathologistSocial WorkerPhysician
Other (please specify)

We require a minimum of at least one year clinical experience (not including academic training). Have you completed AT LEAST one year of clinical experience in the job classification(s) you selected in the previous question?*

Which work settings do you have at least ONE or more years experience?*
home healthoccupational healthhospitalskilled nursingeducation/classroomassisted livinghospicepsych/mental healthschool nursingoutpatientbehavioral healthinpatientresearchresidentialclinicdoctors officesurgeryn/a
Other (please specify)

I am currently certified or not so long ago was certified with the following credentials:*
Other (please specify)

I am willing to work the following shifts:

I am willing to work the following counties (please choose your nearest area should your preferred county not be listed):*
AutaugaBibbBlountCalhounChambersCherokeeChiltonClayColbertCoosaCullmanEtowahJacksonJeffersonLawrenceLeeLimestoneMaconMadisonMarionMarshallMarengoMontgomeryMorganShelbySt. ClairPickensTalladegaTallapoosaTuscaloosaWalker

The type of work I am looking for is:*
full timepart timeeither full or part time

Please tell me more about you and let me know if there is a specific job you want me to consider you for:

I would really appreciate if you can take the time to copy/past or provide the URL link to your cover letter and/or resume in this box!

Again my name is Jan and I really appreciate you taking the time to help me get to know you better!

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