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What is your specialty?
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When are you looking to start a new position?
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In what states are you licensed to practice?
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Are you Board Certified or Board Eligible in Family or Internal Medicine or have plans to obtain board certification within one year of your One Medical start date?
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Board Certified
Board Eligible with plans to obtain board certification within one year of employment
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Are you currently or have you ever been a One Medical Group Employee?
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Will you now or in the future require sponsorship to work in the US by One Medical?
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Do you have any licensing, malpractice or disciplinary issues in your background?
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Do you currently/have you ever been employed as an employee of Amazon or any of its subsidiaries?
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If Yes, Please identify the most recent Amazon company.
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Amazon
A9.com
AbeBooks
Alexa Auto
Alexa.com
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comiXology
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Just Walk Out Technology
Kiva Systems
Liquavista
LOVEFiLM
MGM Holdings Inc.
Pillpack, Inc.
Project Kuiper
Quidsi Inc.
Ring
Shopbop
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Twitch Interactive
Whole Foods Market
Woot, Inc.
Zappos
Zoox
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What is your most recent citizenship? (Note: Due to US Export control regulations, One Medical may follow up with additional questions).
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United States
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Vatican City
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Yemen
Zambia
Zimbabwe
Do you currently reside in or are you physically present in any of the sanctioned countries or regions? Sanctioned countries or regions include: Cuba, Iran, North Korea, Syria, or the Crimea, or so-called Donetsk, (DNR), Luhansk (LNR) regions of Ukraine.
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No - I do not reside in any of the sanctioned countries
Yes - Cuba
Yes - Iran
Yes - North Korea
Yes - Syria
Yes - Crimea, or so-called Donetsk, (DNR), Luhansk (LNR) regions of Ukraine
Are you currently Opted-Out of Medicare?
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