21-83665 - Project Administrator,Work From Home- RCM

Industry Policy & Business Solutions

Jun 10, 2021

Personal Information

Scroll to the bottom and click the forward arrow to continue.

Please note: LabCorp refers to Laboratory Corporation of America Holdings and all of its subsidiaries.

Disability Accommodation for Applicants to LabCorp

LabCorp is an Equal Employment Opportunity / Affirmative Action employer and provides reasonable accommodation for qualified individuals with disabilities and disabled veterans in job
application procedures. If you have any difficulty using our online system and you need an accommodation due to a disability, you may use the alternative email address below to request a
reasonable accommodation: [email protected]

Please be sure to provide accurate dates and information as this may be used for background and employment verification.

** = conditional fields, not required unless you complete a required field that has the ** associated with it.

Personal Information

Prefix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/A
Legal First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pushpender
Enter your legal first name as it appears on your Social Security card
Do you have a legal middle name? No
Legal Middle Name** .
.....................................................
Enter your legal middle name as it appears on your Social Security card
Legal Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kumar
Enter your legal last name as it appears on your Social Security card
Suffix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jr
Preferred First Name . PUSHPENDER
.....................................................
Primary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter numbers only (No spaces, dashes, other special characters ex. 095 55 527215
3145551212 and NOT 314-555-1212)
Secondary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter numbers only (No spaces, dashes, other special characters ex.
3145551212 and NOT 314-555-1212)
Personal Email Address . [email protected]
.....................................................

Current Address

When entering your address information, please use proper capitalization and punctuation, as this may be used for communications sent to you.
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Satguru Enclave , Sector 22, Gurugram, Haryana , India
Apt/Unit/Suite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gurugram
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122001
Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . India
State/Province** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Haryana

General Information

If you were referred by a current employee, please list their full name and
their current email address
I am authorized to work in these countries for any employer US
I am authorized to work in these countries for my present employer only US
When would you be available to begin work? 10-06-21
Will you now, or in the future require sponsorship for employment visa
Yes
status? e.g. H-1B status
Have you ever been employed by LabCorp or any of its subsidiaries, such as
No
Covance?
If yes, please list the name of the company **
From Date ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To Date ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Are any of your employment and/or scholastic records under another
name? No
(Include maiden name)
If yes, please provide alternate name(s) **
Are you related to any LabCorp employees? No
If yes, please provide the names and relationships **
Years of Experience related to this job 4-7
Languages Fluent In . English, Hindi
.....................................................

Work History
** = conditional fields, not required unless you complete a required field that has the ** associated with it

Employment History

Please enter all relevant employment experience for the job you are applying to with us. Please note, if you grant consent, all employment information may be verified if you are offered a
position with LabCorp.

We recommend that you use your resume to fill out this section to ensure accurate completion.
To add additional employers, click the "Add Employer" button below.
The "Remove Last Employer" will delete all entries for the last employer that you have entered.

Please enter your most recent employer first.

Employer 1
Employment Type . Previous
.....................................................
Company Name** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GO EARTH

City ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GURUGRAM
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122001
Country ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . India
State ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Haryana

Start Date ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03/10/2016

End Date ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
06/03/2021
(Required if Previous Employment)
Position/Title ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MANAGING DIRECTOR
Job Duties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MANAGING ACCOUNTS, LEGAL DOCUMENTS, PROJECT MANAGER , LEADING EMLOYEES AND DEALING WITH RESEARCH
WORK.
May we contact for employment verification? **
Yes
(NOTE: We will only contact if/when an offer has been extended)
Is this employment record under another name? If so, list name here (include
maiden name) **
KAVITA
Put n/a if not applicable

If you need to add more employment history, scroll up and click on Add Employer.

Education History
** = conditional fields, not required unless you complete a required field that has the ** associated with it.

Education History

To add additional education, click the "Add Education" button below.

The "Remove Last Education" will delete all entries for the last education that you have entered.

Enter your most recent education first.

Enter your highest completed degree (High School/GED, Associate's, Bachelor's, Master's or PHD). Please do not include certifications in this section.

Education 1
Diploma or Degree Obtained Bachelor's Level Degree
Major/Concentration . Business Admin
.....................................................
School/University Name . Alcorn State Univ
.....................................................
Specific Diploma or Degree . Bachelor of Business Admin
.....................................................
Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . India
State/Province** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Uttarakhand
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEHRADUN
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248001
Graduated? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No
Is this educational record under another name? No
If yes, list name here (include maiden name).**

If you want to add more education history, scroll up and click on Add Education.

Professional Licenses/Certifications
** = conditional fields, not required unless you complete a required field that has the ** associated with it

Professional License and Certifications

If you do not have a license or credential to enter in this section, please use the arrow below to move forward to next section.
To add additional professional licenses, click the "Add License" button below.
The "Remove Last License" will delete all entries for the last license that you have entered.

License 1
License/Certificate Type** .
.....................................................
License/Certification Number (if applicable)
Issuing Agency** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Issue Date** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expiration Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Country** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Electronic Signature

Laboratory Corporation of America Holdings and its affiliates (collectively "LabCorp" or the "Company") do not discriminate in hiring or employment on
the basis of race, color, creed, religion, sex, sexual orientation, sexual identity, sexual expression, age, national original, disability, matriculation,
marital status, political affiliation, genetic information, veteran status, citizenship status, or any other basis prohibited by law. This application for
employment will be considered only for each specific position for which you apply. Future consideration will depend on reapplication. The use of this
form does not obligate the Company to proceed in any way with the application process or to interview, hire or retain an individual. In the event of my
employment, I will comply with all rules and regulations of the organization. I further understand that the Company may investigate my driving record
and my criminal record and that a consumer credit report may be obtained. I also hereby authorize the Company to seek from all previous employers
and scholastic institutions, and further authorize such entities to release to the Company, all information relating to my education and/or previous
employment. I understand that my employment may be terminated in the event that the Company learns that information contained in my application
or otherwise provided during the hiring process is untrue or incomplete. I understand and agree that if hired my employment will be "at-will" and for
no definite period of time. Either the Company or I may terminate my employment at any time, with or without cause and with or without notice.
Employment with the Company is contingent upon successful completion of LabCorp's conditions of employment, general compliance training and
when applicable, special compliance training on a timely basis.

I HEREBY VERIFY THAT THE INFORMATION PROVIDED ABOVE IS FULL AND COMPLETE AND TRUE AND CORRECT AND THAT PROVIDING INCOMPLETE,
INCORRECT, MISLEADING OR FRAUDULENT INFORMATION MAY RESULT IN THE DISQUALIFICATION OF MY APPLICATION OR TERMINATION OF MY
EMPLOYMENT WITH THE COMPANY. I further acknowledge that it is my shared responsibility to ensure that I timely satisfy all pre-employment and
training requirements. Failure to satisfy any condition of employment or training requirement may result in rescission of my offer of employment,
termination of employment or delay in commencement of employment.

By my clicking below, I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS, THAT THE TIMELY COMPLETION OF
PRE-EMPLOYMENT DRUG SCREENING TEST IS ONE OF SEVERAL CONDITIONS OF EMPLOYMENT, AND THAT THE FAILURE TO COMPLY WITH THE DRUG
SCREENING REQUIREMENT OR ANY OTHER CONDITION OF EMPLOYMENT MAY RESULT IN THE REJECTION OF MY APPLICATION, THE RESCISSION OF MY
EMPLOYMENT OFFER OR THE TERMINATION OF MY EMPLOYMENT.

Electronic Signature

Legal First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pushpender

Legal Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kumar
ELECTRONIC SIGNATURE: Please type your name as it is listed above:

I testify that this statement is true to the best of my knowledge:

...................................................... PUSHPENDER KUMAR
Accepted
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jun 10, 2021 12:18 pm
(will populate once you submit your information)