Wamcoding

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Employment Application

Employment Application

We are an equal opportunity employer and do not discriminate against otherwise qualified applicants on the basis
race, age, color, creed, sex, religion, ancestry, marital status, national origin, disability, veteran status, or any other protected characteristic.

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a resume, but all questions must be answered.

"*" indicates required fields

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APPLICANT INFORMATION

APPLICANT INFORMATION

MM slash DD slash YYYY
MM slash DD slash YYYY
HAVE YOU EVER WORKED FOR THIS COMPANY?*
ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S.?*

EDUCATION

EDUCATION

DID YOU GRADUATE?*
DID YOU GRADUATE?*
DID YOU GRADUATE?

EMPLOYMENT HISTORY (PLEASE INCLUDE THE 7 YEARS OF EXPERIENCE

EMPLOYMENT HISTORY (PLEASE INCLUDE THE 7 YEARS OF EXPERIENCE)

MM slash DD slash YYYY
MM slash DD slash YYYY
MAY WE CONTACT*

MM slash DD slash YYYY
MM slash DD slash YYYY
MAY WE CONTACT

EMPLOYMENT HISTORY (CONTINUED)

EMPLOYMENT HISTORY (CONTINUED)

MM slash DD slash YYYY
MM slash DD slash YYYY
MAY WE CONTACT

MM slash DD slash YYYY
MM slash DD slash YYYY
MAY WE CONTACT

REFERENCES

REFERENCES

DISCLAIMER AND ACKNOWLEDGEMENT

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

Contact Information

(757) 431 0081

Mon.-Fri. from 9 am to 5pm

lisa@wamcoding.com

3630 South Plaza Trail Virginia Beach VA 23452

Williams Academy of Medical Coding, Medical Coding, Virginia Beach, VA

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