RepuCare –Job Application
Please Fill Out the Form Below to Submit Your Job Application
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Position Applied
*
Please Select
Account Executive
Addiction Recovery Specialist
Care Coordinator II
Care Manager
Family Clinical Advocate
OB Care Manager
Pharmacy Technician
Process Safety Engineer
Senior Accountant
Senior Manufacturing System Administrator
Special Investigation Unit (SIU) Analyst
Other
Please explain:
Other position selection
Earliest Possible Start Date
-
Month
-
Day
Year
Date
Are you legally eligible to work in the United States?
*
Yes
No
Are you at least 18 years of age? (or specify the minimum age requirement for the job)
*
Yes
No
Are you able to provide proof of identity and authorization to work in the United States?
*
Yes
No
Are you available to work overtime if required by the job?
*
Yes
No
Are you available to work weekends and/or holidays if required by the job?
*
Yes
No
Are you willing to undergo a background check and/or drug screening as part of the hiring process?
*
Yes
No
Do you have any restrictions or limitations that would prevent you from performing the essential functions of the job, with or without reasonable accommodation?
*
Yes
No
If yes, please explain:
Upload Resume
*
Upload a File
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of
Cover Letter
Please do not exceed 300 words.
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