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LabLeadership Executive Search^® - Senior Administrative Opportunities

Please complete the following questionnaire and attach your resume at the end of this form. LabLeadership Executive Search^® will only consider prospective applicants who include a current resume with the questionnaire below. If your resume is not current, please update it and complete the questionnaire at that time.

Thawte SSL Certified When you have completed the questionnaire and have attached your resume, simply click on the submit button. Your registration information will be secure through the use of Secure Socket Layer (SSL) technology.

AFTER WE RECEIVE YOUR COMPLETED QUESTIONNAIRE AND RESUME

As soon as we receive your registration information, we will acknowledge receipt to the email address you provide. Once we have reviewed the information you provide, we will send you feedback information.

All requested data must provided.

Salutation:
First Name:
Last Name:
Address:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Fax:
Email for LabLeadership Executive Search^® Purposes:
Current Employer:
Employer City:
Employer State:

Current Job Title:	Laboratory Manager Operations Manager Sales Manager Director Of Finance, CFO Administrative Laboratory Director Executive Director General Manager Vice President President Other If other, please specify:
Degree: (check all that apply)	B.S./M.T. or equivalent Other Bachelor's MS MBA Ph.D. MD OtherIf other, please specify:
Years in current position:	1-3 3-5 5-10 10+
Type of Employer:	Non-teaching hospital Teaching hospital Academic Medical Center Commercial laboratory OtherIf other, please specify:
Current Work Environment: (check all that apply)	Traditional hospital laboratory Immediate response laboratory or equivalent Central or core laboratory Health Care System or Corporate Offices OtherIf other, please specify:
Total number of FTE's for which you have budget responsibility:	Less than 50 51-100 101-200 201-300 Over 300
Current Salary Range (base):	$70,001-$90,000 $90,001-$110,000 $110,001-$130,000 $130,001-$150,000 Over $150,000
Bonus:	Not Applicable 0 - $10,000 $10,001 - $25,000 Over $25,000
Professional Associations: (check all that apply)	AACC ASCLT ASCP CAP CLMA OtherIf other, please specify:
Position Desired: (check all that apply)	Laboratory Manager Operations Manager Sales Manager Director Of Finance, CFO Administrative Laboratory Director Executive Director General Manager Vice President President OtherIf other, please specify:
Laboratory Environment Desired: (check all that apply)	Traditional Stand Alone Hospital Laboratory Immediate Response Laboratory Central or Core Laboratory Multi-Hospital Laboratory System Commercial Laboratory OtherIf other, please specify:
Are you willing to relocate?	Yes No Not Sure
Which areas would you relocate to? (check all that apply)	Northeast/New England North Central Southeast South Central Southwest Rocky Mountain States West Coast No preference OtherIf other, please specify:
Geographical Location Desired	Large urban area, over 1.5 million Smaller urban area, 250,000 to 1.5 million Rural or small town up to 250,000 No preference
Job Title of immediate supervisor :
Please attach your resume:
Thank you for registering with the LabLeadership Executive Search^® program.

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LabLeadership Executive Search® - Senior Administrative Opportunities

Send mail to webmaster@hcdsinc.com with questions or comments about this web site. Copyright © 2012 Health Care Development Services, Inc.

LabLeadership Executive Search^® - Senior Administrative Opportunities

Send mail to webmaster@hcdsinc.com with questions or comments about this web site.
Copyright © 2012 Health Care Development Services, Inc.