About the Profession
Position of Interest
Certified Surgical Assistant (CSA)
Certified Surgical First Assistant(CSFA)
Registered Nurse First Assistant (RNFA)
Surgical Assistant-Certified (SA-C)
Physician Assistant Certified (PA-C)
Nurse Practitioners (NP)
Are you an United States Citizen? If no, please explain your work status:
Are you a graduate from an CAAHEP-Accredited Surgical Assistant Program? If no, please explain below:
Have you ever worked for Phenom Surgical,LLC before?
Are you related to someone who already works for us?
Have you applied for a position with Phenom Surgical, LLC before?
How many years of Surgical Assisting experience do you have?
What are your areas of surgical expertise?
What specialties and/or procedures do you need additional training with?
Have you ever had a malpractice claim against you in the role as a Surgical Assistant? If yes, please explain below
Have you ever been convicted of a felony? If yes,please explain below
References (2 former employers & 1 colleague)
Form 1 to 3