Access-Supports for Living Careers

Senior Billing Specialist

Administration Middletown, New York

Thank you for considering a career at Access-Supports for Living. Please take a minute to fill out the following form. After you have completed your application an email will be sent to you with information about how to check the status of your application.

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Personal Information

First Name*

Last Name*

Email*

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Desired Salary/Rate of Pay?

Days Available?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Do you have reliable transportation?* Yes No

Have you previously been employed at this company or any of our affiliated businesses (The Guidance Center of Westchester, NYFAC, Meaningful NY)?* Yes No

If yes, please supply dates of employment:

Have you previously applied to this Agency?* Yes No

Do you have relatives, friends or acquaintances who work for this Agency?* Yes No

If Yes, please supply name and relationship to you:

Employment History (Required if resume is not included)

Employer Name*

Position*

Dates of Employment*

Employer Name

Position

Dates of Employment

Education

Highest Level of Education*

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From/To*

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