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Part Time Medical Coder
Part Time
Come Work With Us
Date of Submission
First Name
Last Name
Email
Phone
Address
Birthday
Link to CV/LinkedIn
Position Applying for
Choose an option
Referred By
Have you ever convicted of a crime?
*
Yes
No
Available Start Date
If selected for employment, are you willing to submit to a pre-employment drug screening test?
Yes
No
Desired Pay
Employment
Select Employment
LATEST JOB EXPERIENCE
Previous Company
Dates Employed
Previous Job Title
Ending Pay Rate
Shift Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Others
Currently Employed
*
Yes
No
Are you willing to extend overtime?
*
Yes
No
Willing to Work on a Graveyard shift?
*
Yes
No
Can handle criticism
*
Yes
No
What qualifications, abilities, and strong points will help you succeed in this job?
Give At least 3 Weak Points and Areas for Improvement in Relation to your Work Performance
Why do you intend to work in our company?
EDUCATION
School Name
Degree Received
Major
REFERENCES
Reference #1
Name
Title
Company
Contact Number
Reference #2
Name
Title
Compay
Contact Number
Reference #3
Name
Title
Company
Contact Number
What is your most memorable accomplishment as of today? Why? (It is critical that you provide us with a minimum 500 words to this section)
What has been the biggest challenge that you experienced? Why? (It is critical that you provide us with a minimum 500 words to this section)
How did you learn about this job opening?
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Apply
Thank you! We’ll be in touch.
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