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It Skills Assessment Questionnaire

IT Skills Assessment Questionnaire

Name
This field is for validation purposes and should be left unchanged.
1. Have you ever worked in an office environment with desktop computers, servers, and shared resources like network drives and printers before?*
- Yes
- No
2. Have you ever used an electronic donor charting system?*
- Yes
- No
3. If you've used the Microsoft Office suite of applications, what versions are you familiar with?
- Office 2010
- Office 2013
- Office 2016
- Office 365
- Other -> Fill in the Blank
4. Which of these products have you used before?
- Outlook
- Word
- Excel
- PowerPoint
- Access
5. In Microsoft Outlook email, can you open/read messages, compose/send messages, use an address book, use a calendar, and work with attachments?*
- Yes
- No
6. Have you ever worked with an office-based phone system and done things like placed calls on hold, transfered calls, and used voicemail?*
- Yes
- No
7. Do you have experience working with and using smartphones or tablets (i.e. iPhones, iPads, Android OS devices, etc)?*
- Yes
- No
8. Do you currently have access to a hospital EMR systems?*
- Yes
- No
8a. If you answered yes to question 8, please list which hospitals you currently have EMR access to:
8b. If you answered yes to question 8, do you plan to maintain your hospital EMR access?
- Yes
- No
Name*
What first name do you go by?*
Date*
MM slash DD slash YYYY
Email*
What is your cell phone number?*
Who is your cell phone carrier?*
What model cell phone do you have?*
If you’ve ever worked in the organ transplantation industry before, do you have an existing login for DonorNet? If yes, please list the 4 digit name of the center that you are listed under.
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Cleveland, Ohio 44128-5919

Phone: 216.752.LIFE (5433)

Toll free: 888.558.LIFE (5433)

Fax: 216.751.4204

Copyright ©2025 Lifebanc® All Rights Reserved.

Our mission is to heal & save lives, and despite the circumstances, our team continues to make every effort to ensure fulfillment of our mission.

All donation and transplantation work will continue as usual.

Programming, in-person meetings and external events are on-hold until further notice.

We are closely monitoring the situation and will deliver updates via social media, our website, and email communications as things progress.

Thank you for your continued support of Lifebanc and our community.

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To complete your donor registration, we need to redirect you to the official Ohio BMV website where you’ll enter some personal information.

Have your driver’s license or state ID card number ready.
It’s secure and takes less than a minute.

Continue to BMV Site

You are almost there!

To complete your donor registration, we need to redirect you to the official Ohio BMV website where you’ll enter some personal information.

Have your driver’s license or state ID card number ready.
It’s secure and takes less than a minute.

Continue to BMV Site

You are almost there!

To complete your donor registration, we need to redirect you to the official Ohio BMV website where you’ll enter some personal information.

Have your driver’s license or state ID card number ready.
It’s secure and takes less than a minute.

Continue to BMV Site