Phoenix Healthcare Management

<body bgcolor="ffffff"> <p align="center"><font face="Arial, Helvetica, sans-serif" size="3"><i><b>This page uses frames, but your browser doesn't support them.</b></i></font></p> <hr> <div align=center> <p><font face="Arial, Helvetica, sans-serif" size="4"><b>Current Job Openings:</b></font></p> <p><b><font face="Arial, Helvetica, sans-serif" size="4"><i><font color="#FF0000">Note: This section under contruction! Check back later...</font></i></font></b></p> <hr> <p><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=4><b><font face="Arial, Helvetica, sans-serif">Phoenix Healthcare On-line Employment Application</font></b></font></p> <p><b><font face="Arial, Helvetica, sans-serif"> Fields in </font><font color=red face="Arial, Helvetica, sans-serif">RED</font><font face="Arial, Helvetica, sans-serif"> must be completed</font></b><br> </p> </div> <form action=cgi-bin\FormMail.pl method=post> <div align=center> <input name=subject type=hidden value="Employment Application"> <input name=recipient type=hidden value=employment@phoenix-healthcare.com> <input name=required type=hidden value=name,address,city,state,zip,telephone,email,applied-before,cannotwork,wordexp,catiexp,callexp,employer1,empaddress1,empphone1,datestarted1,startsalary1,per1s,startposition1,leavingdate1,leavesalary1,per1l,leaveposition1,supervisor1,duties1,reason1> <table border=2 cellpadding=0 width="70%"> <tbody> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Name:</font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=name size=36 tabindex=3> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Address:</font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=address size=36 tabindex=4> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>City: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=city size=36 tabindex=5> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>State:</font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=state size=2 tabindex=6> </font><font color=white face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>.......</font><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Zip: </font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=zip size=10 tabindex=7> </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Telephone: <input name=telephone size=14 tabindex=8> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>E-Mail Address: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=email size=36 tabindex=9 value=employment@phoenix-healthcare.com> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2><br> Have you applied here before?</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=applied-before tabindex=10 type=radio value=Yes> Yes <input name=applied-before type=radio value=No> No</font></td> </tr> <tr> <td valign=center> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>If Yes, when, and in what department? </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=when-dept size=36 tabindex=11> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Are there any hours, shifts or days you cannot or will not work?</font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=cannotwork size=36 tabindex=12> </font></td> </tr> <tr> <td valign=center> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Do you have word processing experience?</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=wordexp type=radio value=Yes> Yes <input name=wordexp type=radio value=No> No</font></td> </tr> <tr> <td valign=center> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2><br> </font><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Do you have CATI experience? </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=catiexp type=radio value=Yes> Yes <input name=catiexp type=radio value=No> No</font></td> </tr> <tr> <td valign=center> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2><br> </font><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Do you have call center experience?</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=callexp type=radio value=Yes> Yes <input name=callexp type=radio value=No> No</font></td> </tr> <tr> <td valign=center> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Please list any other office equipment skills that you feel might be relevant:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <textarea name=otherskills rows=4 tabindex=13></textarea> </font></td> </tr> </tbody> </table> </div> <p align=center> </p> <p align=center><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular><b>Relevant Job Experience</b></font></p> <p align=center> <div align=center> <table border=2 cellpadding=0 width="70%"> <tbody> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Most Recent Employer: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=employer1 size=38 tabindex=11> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Address: <input name=empaddress1 size=18 tabindex=12> </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Telephone: <input name=empphone1 size=14 tabindex=13> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Date Started: <input name=datestarted1 size=8 tabindex=14> </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Starting Salary:</font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>$ <input name=startsalary1 size=6 tabindex=14> </font><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>per</font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=per1s size=6 tabindex=15> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Starting Position: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=startposition1 size=38 tabindex=17> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Date of Leaving: <input name=leavingdate1 size=6 tabindex=18> </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Salary on Leaving:</font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>$ <input name=leavesalary1 size=6 tabindex=19> </font><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>per</font><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=per1l size=4 tabindex=20> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Position on Leaving:</font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=leaveposition1 size=38 tabindex=21> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Name & Title of Supervisor: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=supervisor1 size=38 tabindex=22> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Description of Duties: </font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=duties1 size=38 tabindex=23> </font></td> </tr> <tr> <td> <div align=right><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Reason for Leaving:</font></div> </td> <td width="50%"><font color=red face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=reason1 size=38 tabindex=24> </font></td> </tr> </tbody> </table> </div> <p align=center> </p> <p align=center> <div align=center> <table border=2 cellpadding=0 width="70%"> <tbody> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Previous Employer: </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=employer2 size=38 tabindex=25> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Address:  <input name=empaddress2 size=18 tabindex=26> </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Telephone: <input name=empphone2 size=14 tabindex=27> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Date Started: <input name=datestarted2 size=8 tabindex=28> </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Starting Salary:$ <input name=startsalary2 size=6 tabindex=29> per <input name=per2s size=4 tabindex=30> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Starting Position:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=startposition2 size=37 tabindex=31> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Date of Leaving: <input name=leavingdate2 size=6 tabindex=32> </font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Salary on Leaving:$ <input name=leavesalary2 size=6 tabindex=33> per <input name=per2l size=4 tabindex=34> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Position on Leaving:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=leaveposition2 size=38 tabindex=35> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Name & Title of Supervisor:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=supervisor2 size=38 tabindex=36> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Description of Duties:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=duties2 size=38 tabindex=37> </font></td> </tr> <tr> <td> <div align=right><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>Reason for Leaving:</font></div> </td> <td width="50%"><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2> <input name=reason2 size=38 tabindex=38> </font></td> </tr> </tbody> </table> </div> <p align=center><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2><br> </font></p> <p align=left><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular size=2>By submiting this form, I certify that facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed with Phoenix Healthcare Management Systems or its subsidiaries, any false statements, omissions or misrepresentations may result in my dismissal. I authorize the Company to make a complete investigation of any of the statements set forth in this application and hereby release all parties from any liability for damage that may result from furnishing the same.</font></p> <p align=center> </p> <p align=center><font face=Arial,Helvetica,Geneva,Swiss,SunSans-Regular> <input name="submit " type=submit value="Submit Application"> <input type=reset value="Reset Form" name="reset"> </font></p> <p align=center> </form> <hr> <p align="center"><font face="Arial, Helvetica, sans-serif" size="2"><a href="welcome.html" target="main">Welcome</a> | <a href="service.html" target="main">Services</a> | <a href="employment.html" target="main">Employment</a> | <a href="contact.html" target="main">Contact</a> | <a href="http://www.vhageorgia.com" target="_parent">VHA Georgia</a></font></p> <p align="center"> </p> <p> </p> </body>