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: **********@***.***
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