Application

Position - Duke Radiology, Division Chief of Cardiothoracic Imaging, Durham

 
1 Start 2 Complete
Upload Files
Files must be less than 5 MB.
Allowed file types: txt rtf pdf doc docx.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.
Answers to the following questions are required for consideration for employment
If you answered yes to any of these questions, please furnish additional information in this text box. Material omissions or misrepresentations relating to the information requested above may result in withdrawal of any offer of employment or later termination of employment.
Voluntary Disclosures

Voluntary Self-Identification of Veteran Status

If you believe you belong to any of the categories of protected veterans listed below, please check the appropriate boxes. We request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Voluntary Self-Identification of Disability

Individuals with disabilities who anticipate requiring assistance during the application process may contact the Office for Disability Management Services at 919-668-6213. TTY 919-668-1329

Why are you being asked to complete this form? 

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability? 

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. 

Disabilities include, but are not limited to: 

  • Blindness

  • Deafness 

  • Cancer

  • Diabetes

  • Epilepsy

  • Autism

  • Cerebral palsy

  • HIV/AIDS

  • Schizophrenia 

  • Muscular dystrophy

  • Bipolar disorder

  • Major depression

  • Multiple sclerosis (MS)

  • Missing limbs or partially missing limbs

  • Post-traumatic stress disorder (PTSD)

  • Obsessive compulsive disorder

  • Impairments requiring the use of a wheelchair

  • Intellectual disability (previously called mental retardation) 

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. 

i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp. 

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete. 

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke makes good faith efforts to recruit, hire, and promote qualified women, minorities, individuals with disabilities, and veterans.

By typing my name on this form, I certify that all information is correct.