Mobile Phlebotomist: (Atlantic City, NJ)

First Name *

Last Name

Email *

Phone *

Resume *

Address *

Where did you get your phlebotomy training? *

What year did you get your phlebotomy training? *

Did you obtain a Certified Phlebotomy Technician (CPT) through the NHA? *

Have you ever worked for PTI? *

Are you currently employed? If so, where? *

Have you ever done mobile phlebotomy? *

Were you referred to our company by an existing PTI employee? If so, who?

Are you looking for FT work (M-F 7am - 3pm)? *

When are you available to start? *

Do you have reliable transportation? If so, what is the make and year of your vehicle? *

Are you fully vaccinated for COVID-19? *

Application Form