Phlebotomist Training Program – REGISTER - D-H Workforce Readiness Institute

Thank you for your interest in the D-H WRI Phlebotomy Training program. By registering online, you will be receiving our detailed information session video links in the automated reply. Please review these at your earliest convenience upon receiving them. Within five business days, you will receive an email from a Phlebotomy Program Leader that will include a virtual meeting request to outline information regarding the upcoming program dates and steps for moving forward. If you have any questions or do not receive your confirmation email in a timely manner, please contact us directly at wri@hitchcock.org. Thank you!

I will be attending the Online Information Session on: *

Tuesday, January 17th at 7:00pm

Wednesday, February 1st at 7:00pm

I cannot attend an event, but would like to receive information about future training opportunities

I am interested in:

The Lebanon Area Program D-H, Mt. Ascutney, Alice Peck Day, New London

The Community Group Practice Area Program Concord, Nashua, Manchester

The Keene Area Program - Cheshire Medical Center

Name *

First

Last *

Last

Email *

Phone *

Address *

Address Line 2

City *

State *

Zip *

Questionnaire:

To help us better know you and further assess your qualifications for this position, please answer the following questions as accurately as possible.

Have you previously been employed by Dartmouth Health at any of its locations? If yes, please indicate location and department. *

Yes

No

Location and Department *

Are you a current employee of Dartmouth-Hitchcock? If yes, please indicate location, department and date of hire. *

Yes

No

Location and Department *

Date of Hire *

Have you applied for a Workforce Readiness Institute Program before?

Yes

No

Are you legally eligible for employment in the United States? *

Yes

No

Will you now or in the future require sponsorship for employment visa status (e.g. H-1B visa status)? *

Yes

No

Are you under 18 years of age? *

Yes

No

I understand that if I have ever been convicted of any felony in any state (regardless of type of offense;) or any misdemeanor offense of sexual assault, other violent crime, assault, fraud, theft, abuse, neglect or exploitation of any person (together, "disqualifying convictions), that has not been annulled by a court, D-H will be required to obtain a waiver from the New Hampshire Department of Health and Human Services prior to extending a final offer of employment. Any disqualifying convictions should be discussed with your TA Recruiter at time of offer. *

Yes

No

How did you hear about the program ? How did you hear about the program ?

How soon are you looking to start employment?

Please upload your resume. If you are not ready to submit your document at this time, you may initiate your registration via this online form, and hand carry your resume to the information session.

Upload your files here. Multiple files accepted. Please only upload the following file types: .doc .docx .pdf

Maximum file size: 52.43MB

Register Online

Questionnaire:

Please upload your resume. If you are not ready to submit your document at this time, you may initiate your registration via this online form, and hand carry your resume to the information session.