All fields marked * are compulsory Page 1 of 3
Business Details  
   
*First Name
Valid Please enter your first name.
*Last Name
Valid Please enter your last name.
*Email Address
Valid Please enter a valid email address. Please enter a valid format
Does anyone other than yourself have access to this email address?
Yes No Valid Please specify an answer.
*Phone
Valid Please enter a phone number Please enter a valid format (eg: (+1)-(02)-(34334343) country code-area code-tel number format)
Mobile Phone
Valid Please enter your mobile phone number Please enter a valid format (eg: (+1)-(02)-(34334343) country code-area code-tel number format)
*Street Address
Valid Please enter your street address.
*Suburb
Valid Please enter your suburb.
*State
Valid Please enter your state.
*Post Code
Valid Please enter your postal code.
Postal Address (if different from Street Address)
Valid Please enter your postal address.
Suburb
Valid Please enter your suburb.
State
Valid Please enter your state.
Post Code
Valid Please enter your post_code.
*Country
*Birthday
 
*Are you currently studying?
Yes No    Valid Please indicate if you are a student or not.
If so, what are you studying?
Valid Please provide an answer.
*Is English your native language?
Yes No    Valid Please specify a language.
*How did you hear about us? (e.g. Google, SEEK UK or SEEK NZ, other web search/link)
    character count   / 100
 Valid
Please enter the information. Please enter a maximum of 100 words.
 
Transcription Category 
   
Please indicate the transcription category you are wishing to contract type for:
General Transcription
Yes No    Valid Please specify a value.
Medical Transcription
Yes No    Valid Please specify a value.
Radiology Transcription
Yes No    Valid Please specify a value.
 
*Recommended Equipment Contractors are responsible for their own equipment and software. Please advise whether you own the following equipment, and whether you are willing to purchase it should Pacific Transcription hire you.
   
A PC, either laptop or desktop (Note: Apple/Mac computers are unable to play several of the major file types used by Pacific Transcription)
Yes No, but will purchase No, but I have an Apple/Mac    Valid Please specify a value.
   
Broadband Internet Connection (Note: A good internet connection is essential for downloading audio files)
Yes No, but will purchase No    Valid Please specify a value.
   
Windows XP, Vista or 7
Yes No, but will purchase No    Valid Please specify a value.
   
Microsoft Office 2003, 2007 or 2010
Yes No, but will purchase No    Valid Please specify a value.
   
A Foot Pedal which is compatible with Express Scribe.
Yes No, but will purchase No    Valid Please specify a value.
   
A set of external speakers with volume control and a set of good quality headphones (preferably with their own volume control).
Yes No, but will purchase No    Valid Please specify a value.
   
Software which can play .ds2 (DSS Pro) format audio files or can convert them to a format you can play.
Yes No, but will purchase No    Valid Please specify a value.
   
*Recommended for medical/legal typists (but not essential):
Line-counting software such as Practicount or TexTally
Yes No, but will purchase No    Valid Please specify a value.
   
*Extra Equipment Please let us know whether you currently own any of the following equipment (this may be advantageous to your application).
   
Standard tape transcriber
Yes No    Valid Please specify a value.
Mini tape transcriber
Yes No    Valid Please specify a value.
Micro tape transcriber
Yes No    Valid Please specify a value.
Stenographic equipment
Yes No    Valid Please specify a value.
 
 
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