Informatix Job Application
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Informatix Health, Inc is an equal opportunity employer.  All applicants and employees are considered for employment, advancement, and development based upon their skills, performance and potential.  No current or prospective employee will be discriminated against because of race, creed, color, gender, age, national origin, handicap or military status.
Full Name (first,middle initial,last name) *
Date of Birth *
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Social Security Number (last Six digits) *
Address ( Street, City, State, Zipcode) *
Phone Number ( Home)
Phone Number (Cell Phone) *
Language skills (written/spoken) *
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Have you ever been employed here before?
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Military Service
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Position Applying For *
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Availability: Check all that you could work *
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Which shift do you prefer *
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Date Available to Start *
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