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Service, Maintenance & Delivery Technician — Application

Thank you for your interest in joining the Fayette Medical Supply team. Please complete all sections thoughtfully — the quality of your answers matters as much as your experience. Fields marked * are required.

Equal Opportunity Employer
1Basic Info
2Work History
3Field Skills
4References
5Questionnaire

Application Received

Thank you for applying to Fayette Medical Supply. We have received your application and will be in touch if we would like to move forward.

Your application is not complete yet.
You must now send your follow-through email to info@fayettemedicalsupply.com.
Use this exact subject line:
Application – [Your Full Name] – [Position Applied For]

Applications without this follow-through email will not be advanced to the interview stage.

There was a problem submitting your application. Please check your connection and try again. If the issue continues, email us directly at info@fayettemedicalsupply.com.
1

Basic Information

This role requires driving a company vehicle daily to patients' homes. Be honest — a clean record isn't the only thing we look at, but an inaccurate answer here is disqualifying if it comes up later.
2

Work History & Education



3

Field & Mechanical Skills Check

This role requires precise, careful work in patients' homes — equipment setup, basic troubleshooting, and clear documentation. These tasks are straightforward, but follow each instruction precisely. Accuracy matters more than speed.

Task A Date formatting

Enter today's date in this exact format: MM/DD/YYYY  (example: 03/15/2025)

Task B Attention to instruction

Type the word Fayette in the box below — spelled and capitalized exactly as shown.

Task C Copy, paste & proofread

The sentence below contains one spelling error. Copy it into the box and correct the error before submitting.

"The oxygen concentrator was delivered to the patiant's home Thursday morning."
Task D Tools & equipment familiarity

Select everything you have used or worked with, in any setting (job, military, farm, personal projects, etc.):

Task E Overall mechanical / hands-on proficiency

On a scale of 1 to 10, how would you rate your overall mechanical and hands-on proficiency — where 1 is very limited and 10 is highly advanced?

5 — Comfortable
1 — Very limited 5 — Comfortable 10 — Highly advanced
Be honest and specific. A lower score with a clear explanation is more helpful than an inflated one.
4

References & Follow-Through Task

Please provide two professional references and one personal reference. Professional references should be former supervisors, managers, or coworkers — not family members. Your personal reference should be someone who knows you well outside of work, but not a family member.


Follow-Through Task — Required to Advance

After submitting this application, send an email to info@fayettemedicalsupply.com containing:

  1. Subject line exactly as shown:
    Application – [Your Full Name] – [Position Applied For]
  2. A brief paragraph (3–5 sentences) on why you want to work at Fayette Medical Supply specifically.
  3. Your three references (two professional, one personal) listed in the email body or attached as a PDF.
  4. A copy of our job posting pasted at the bottom of the email.

Applications without this email will not be advanced to the interview stage. This step confirms email proficiency, the ability to follow detailed instructions, and that you have read the full job posting.

5

Questionnaire

Answer each question with specific examples from your experience. Vague or generic answers will not advance your application. The more detail you provide, the better we can evaluate your fit.

What do you know about us, and why does this opportunity appeal to you?
Give a real example — not a general statement about your work ethic.
We want to understand how you handle correction and growth — not whether you've ever made mistakes.
Be honest — everyone experiences workplace friction. How you handle it is what matters.
There is no single right answer — we want to see how you think, not just what outcome you'd aim for.
Does not have to be from a medical setting — any real example counts.
Be honest — we are not looking for the "right" answer.
Could be a repair, an assembly, troubleshooting a problem — any real example, doesn't have to be work-related.

Before you submit, confirm the following:

  • All required fields (*) are completed
  • You are ready to send the follow-through email to info@fayettemedicalsupply.com immediately after submitting