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Apply for employment at NeighborHealth

Name: NeighborHealth Center
Address: 2605 Blue Ridge Road, Suite 22, Raleigh, North Carolina, 27607, US
Telephone: (984) 222-8000

This online form goes directly to the NeighborHealth Human Resources Department. If you prefer to download the form, you can email your completed application to hr@neighborhealthcenter.org or bring it NeighborHealth Center, 2605 Blue Ridge Road, Suite 225, Raleigh, NC 27607.

Employment Application

Employment Application:

Employment Application

"*" indicates required fields

Full Name*

First Middle Last

Resume/Reference Upload

Drop files here or

Max. file size: 256 MB, Max. files: 2.

Address*

Street Address City State ZIP Code

Phone*

Email*

Date Available*

Desired Salary

Position Applied For*

How did you hear about this position and/or the health center?

Are you at least 18 years of age?*

Yes

Employment may be subject to verification that you meet state and federal minimum age requirements or require a work permit.)

Are you a United States citizen, or do you have papers from the U.S. government permitting you to work?*

Yes

Verification will be required at the time of employment.

Have you ever been suspended, terminated, discharged or resigned to avoid being discharged?

Yes

Have you ever been disciplined for attendance problems in your current or previous employment?

Yes

Are there any gaps in employment in excess of thirty (30) days?

Yes

If the position requires, do you have an automobile, insurance coverage and a valid North Carolina driver’s license?

Yes

Education

Highest Level of School Completed:

(High School, College, etc.)

School Name and Address

Diploma / Degree

(GED, diploma, masters, etc.)

Date attended School from:

Date attended School to:

Did you graduate?

Yes

Previous Employment

Company

Phone

Superviser

Job Title

Responsibilities

Employed from Date

Employed to Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Need to enter more employment history?

Yes

You may upload your resume/employment history above or indicate yes here to enter more employment history.

Company

Phone

Superviser

Job Title

Responsibilities

Employed from Date

Employed to Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Need to enter more employment history?

Yes

Company

Phone

Superviser

Job Title

Responsibilities

Employed from Date

Employed to Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree

Today's Date

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Reason for Leaving

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Created By (User Id)

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Post Id

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NeighborHealth Center, Inc. (NHC), is a private, non-profit 501(c)3 agency founded to meet the healthcare needs of the underserved in the Raleigh area.