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Humble Healing Holistic Health Center
Employment Application
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* Indicates required question
Name
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Your answer
Date Of Birth
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MM
/
DD
/
YYYY
Phone Number
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Your answer
Email
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Your answer
Mailing Address
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Your answer
Position Applying For?
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Bilingual Front Office Receptionist
Front Office Receptionist
Medical Coding & Billing (On Location)
Medical Coding & Billing (Virtual)
Do you have any experience working in a medical office or office setting? If so, explain.
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Your answer
Are you bilingual?
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Yes
No
Do you have a criminal background? Background checks will be done through a 3rd party agency. If so, explain. (All applications will be considered. Please be honest. I will find out. 😁)
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Your answer
Do you have any degrees, certificates, or training?
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Your answer
Do you understand that this application is for a part time position located in the medical center of San Bernardino,Ca? (Virtual or Location Only For Medical Billing & Coding Applicants)
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Yes
No
Do you have reliable transportation?
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Yes
No
Other:
When is the best time to contact you ?
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Morning
Afternoon
Other:
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