Job Application: ACCOUNTS RECEIVABLE SPECIALIST (part time)

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What are you looking for? *	Full Time Part Time Other
If Part Time or Other, what hours can you work?

Are you willing to work any shift?	Yes No
If No, what shift(s) can you work?

Are you available for overtime work?	Yes No

Desired Salary
Desired Start Date
Do you have any relatives, friends or roommates that currently work for Arrowhead?	Yes No
If Yes, who?

Have you applied for employment at Arrowhead Dental Laboratory previously? *	Yes No
If Yes, when and for what position?

Have you ever been employed by Arrowhead Dental Laboratory?	Yes No
If Yes, please provide date(s) and position(s) of employment.

Have you ever been convicted plead guilty or no content, or forfeited bond / bail for any crime other than traffic violations?	Yes No
If Yes, please give details. Do not list any arrest, charge or detention that did not result in conviction.

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Technical Training – Degree/License/Certification

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Other – Location
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Typing Speed
10 Key
Certification(s)? (CDT or other)
Skills	Dental Terminology Medical Terminology Data Entry Windows Microsoft Office Switchboard Book Keeping Data Processing LAN/WAN Computer Use Spreadsheets Word Processing Filing Accounting
Other Skills

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