					(248) 232-9969

Transcriptionist Network Application

At 2Scribe, all contractors are considered without regard to race, color, religion, sex, sexual orientation, national origin, ancestry, age, marital status, disability, or any other category protected under applicable federal, state, or local law.

THIS FORM IS CURRENTLY UNDER MAINTENANCE - PLEASE CALL OR EMAIL until this notice is removed - THANKS IN ADVANCE -- go to Contact Details

Name:
Email address:
Confirm email address:
Address:
City:
State:
Zip:
Phone:
Years of transcription experience:
Types of transcription experience (family practice, orthopedics, etc.):
Last company you transcribed for:
What type of Internet access to you have:
Approximately how old is your computer:
How many days per week do you wish to transcribe:
What time of day do you prefer to work:	7 AM to 3 PM 3 PM to 11 PM 11 PM to 7 AM Weekends (check all that apply)
How many lines per day would you like to transcribe:
Rate per line:
Date available:	month/day/year
By submitting this Membership Application, you acknowledge that you are applying for membership in the 2Scribe Network as an independent contractor, and that you are not applying for employment with 2Scribe. Should you be accepted into the 2Scribe Network, you understand that 2Scribe will make reasonable efforts to accommodate your desired schedule and work volumes, however 2Scribe guarantees neither. As an independent contractor, 2Scribe recognizes your right to establish your own work hours. As part of your acceptance into the 2Scribe Network, you will be required to sign a confidentiality agreement that allows 2Scribe to fulfill its obligations under HIPAA and other regulations.	(your initials)


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