CATHERINE BAKER’s Employment Application

Application Date: 5/16/2023

Job Title: Call Center Representative (work from home - any state) Job Location: any state

Personal Information

First Name: CATHERINE

Last Name: BAKER

Email: adw7z1@r.postjobfree.com

Contact Information

Mobile: 910-***-****

Alt. Phone: 910-***-****

Country: US

Address: 711 Conifer Circle

City: Jacksonville

State: NC

Zip Code: 28540

General Information

Are you 18 years of age or older? Yes

Are you a citizen of the United States? Yes

If no, are you authorized to work in the U.S.? n/a Have you ever worked for Advantage Health Centers before? No Have you ever applied or been offered a position at Advantage Health Centers? No If yes, please give dates and position: n/a

Have you received the full series of the Coronavirus Vaccine? (Note: Answering “no” does not constitute automatic employment rejection.): Yes

Have you ever pled guilty, no contest, or been convicted of a crime (misdemeanor or felony)? (Note: Answering “yes” does not constitute automatic employment rejection.): No If yes, please provide dates and detailed information: n/a Desired Compensation: Customer Service Representative Available Start Date: 2023-06-05

Employment History

Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent Employer

Job Title: Accounting Support

Employer Name: DULUTH TRAVEL

Country: US

City: Peachtree

State or Province: GA

Currently Employed? n/a

End Date: 2023-05-26

Reason for Leaving: Personal

Explanation: n/a

Rate of Pay: $21.00 hourly

Direct Supervisor: Carolyn Morton

Company Phone: Duluth Travel

OK to contact? No

Responsibilities and Duties: See resume

2nd Previous Employer

Job Title: CUSTOMER SERVICE REP CALL CENTER

Employer Name: Concentrix

Country: US

City: Jacksonville

State or Province: NC

Start Date: 2021-09-15

End Date: 2022-09-21

Reason for Leaving: Medical

Explanation: Caught covid, and the project ended.

Rate of Pay: $15.00

Direct Supervisor: Aaron Tiger

Company Phone: Concentrix

OK to contact? Yes

Responsibilities and Duties: Processing Centerwell Online pharmacy orders. Reordered and updated members' prescription.

Education/Training

High School

Name: James Madison H.S

Address: Brooklyn, New York

Last Grade Completed: 12

Graduate or GED? Yes

College or University

Name: University of Maryland

Address: n/a

Years Completed: 2

Graduate? Yes

Course or Major: General Education

Degree: Associate

Graduate School

Name: A.I.U

Address: Schaumburg, IL

Years Completed: 2

Graduate? Yes

Course or Major: Accounting

Degree: Master

Trade/Other School

Name: J.F . Drake State Community &Technical College Address: Huntsville, AL

Years Completed: 2

Graduate? Yes

Degree or Certification: Yes

Military Service

Branch: Army

From: 1981-05-01

To: 1992-05-31

Rank at Discharge: E5

Type of Discharge: Honorable

If other than honorable, explain: n/a

References

Please list three professional references.

1st Reference

Full Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Address: n/a

2nd Reference

Full Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Address: n/a

3rd Reference

Full Name: n/a

Company: n/a

Relationship: n/a

Phone: n/a

Address: n/a

Applicant's Statement

I certify that my answers are true and complete to the best of my knowledge. Furthermore, I authorize Advantage Health Centers to make inquiries of my personal, employment educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from liability in responding to inquiries in connection with this application. If this application leads to employment, I understand that false or misleading information provided on my application or during interview(s) may result in discharge of employment. Acceptance: I have read and agree to this statement Signature: Catherine A. Baker

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Acceptance: I have read and agree to this statement

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