Certified Medical Assistant (Joliet) CHC/010

PERSONAL INFORMATION

First Name*

Middle Name

Last Name*

Current Address*

1. City & State*

Email Address*

A valid email address is required.

Telephone*

A valid phone number is required.

Work Number*

A valid phone number is required.

Call in Confidence*

Yes No

Are you 18 years of age or older?*

Yes No

Are you authorized to work in the United States?*

Yes No

US Armed Forces Service?*

Yes No

Duties

Active Duty Period From:

Active Duty Period To:

Branch

Reserves Period From:

Reserves Period To:

Reserves Period Branch:

If the job you are applying for requires driving a vehicle, do you possess a valid Illinois driver's license?*

Yes No

If yes, indicate Driver's License Number:

Is your license currently or has it ever been revoked, suspended or restricted?**

Yes No

Please explain:

EMPLOYMENT DESIRED

Position Apply for (1)*

1. Dept:*

Position Apply for (2)

2. Dept:

What kind of work schedule are you available for?*

Shift:

Date you can start?*

Salary Desired:*

Are you available to work weekends when required by the position you have applied for?*

Yes No

Have you ever been employed with Will County?*

Yes No

If Yes, From:

To:

Dept. :

Name if different than above:

List any relatives currently employed within the department in which you are applying:

EDUCATION

1. Name of High School attended*

1. City & State*

1. Did you graduate*

Yes No GED

1. Other Education*

2. Name of High School attended

2. City & State

2. Did you graduate

Yes No GED

2. Other Education

3. Name of High School attended

3. City & State

3. Did you graduate

Yes No GED

3. Other Education

Please list any skills, abilities, hobbies, training, etc. which you feel may be an asset. (Example: business machines, volunteer work, additional languages, word processing, clerical.):*

Please list any license, registration, certificates, etc. which are related to the job you are applying for:*

Have you ever had a license, registration, certificate, etc. related to the position you are applying for suspended, revoked, placed on probation or lapsed for any reason?*

Yes No

If yes, please explain

EMPLOYMENT HISTORY - 1

1. Name and Address of Employer*

1. Dates of Employment To:*

1.Dates of Employment From:

1. Work Type on Start*

Hr. Wk. Yr.

1. Work Type on Leaving*

Hr. Wk. Yr.

1. List Job Responsiblities:*

1. Position Held*

Full Time Part Time

1. Job Title*

1. May we contact this employer for a reference prior to a job offer?*

Yes No

1. Supervisor's Name & Title:*

1. Work Telephone:*

A valid phone number is required.

1. Reason for Leaving:*

Voluntary Involuntary

1. If Involuntary, Please Explain:*

Employment History - 2

2. Name and Address of Employer

2.Dates of Employment From:

2. Dates of Employment To:

2. Work Type on Start

HR Wk YR

2. Work Type on Leaving

HR Wk YR

2. List Job Responsiblities:

2. Position Held

Full Time Part Time

2. Job Title

2. May be we contact this employer for a reference prior to a job offer?

Yes No

2. Supervisor's Name & Title:

2. Work Telephone:

A valid phone number is required.

2. Reason for Leaving:

Voluntary Involuntary

2. If Involuntary, Please Explain:

Employment History - 3

3. Name and Address of Employer

3.Dates of Employment From:

3. Dates of Employment To:

3. Work Type on Start

HR Wk YR

3. Work Type on Leaving

HR Wk YR

3. List Job Responsiblities:

3. Position Held

Full Time Part Time

3. Job Title

3. May be we contact this employer for a reference prior to a job offer?

Yes No

3. Supervisor's Name & Title:

3. Work Telephone:

A valid phone number is required.

3. Reason for Leaving:

Voluntary Involuntary

3. If Involuntary, Please Explain:

PROFESSIONAL REFERENCES - 1

1.Full Name*

1.Business or Home Address*

1.Occupation*

1.Telephone Number*

A valid phone number is required.

PROFESSIONAL REFERENCES - 2

2.Full Name

2.Business or Home Address

2.Occupation

2.Telephone Number

A valid phone number is required.

PROFESSIONAL REFERENCES - 3

3.Full Name

3.Business or Home Address

3.Occupation

3.Telephone Number

A valid phone number is required.

Applications without Signatures will not be considered for employment

Applicant Signature (Type your Name)*

Date:*

Verification of Signature*

I have read or had read to me and understand the above statement. For purposes of this electronic form my typed name in the signature box represents my signature. APPLICATIONS WITHOUT SIGNATURES WILL NOT BE CONSIDERED FOR EMPLOYMENT. Thank you for considering the County of Will as a potential employer. Applications are only accepted for current job openings.

Job Category	Medical Assistant
Division:	Community Health Center
Wages:	(16.81-$26.88)
Brief Description:	Applicant will be working assisting medical physicians and nurses in patient care activities, including collecting information from clients, escorting patients, preparing medical records, stocking exam rooms and drawing blood along with performing in-house procedures. Candidate will be exposed to work in Family, OB, and BH areas of the clinic along with traveling to satellite offices. Scheduled hours are Monday through Thursday 10:00 am-6:00 pm, and Friday 8:30 am-4:30 pm.
Minimum Qualifications:	High School Diploma or equivalent. Candidate must be a graduate from an accredited medical assistant program with CMA certificate. One (1) year experience in direct patient care providing clinical support to Physician or Nurse Practitioner in an ambulatory care setting.
Requirements:	Verification of U.S. citizenship or employment eligilibity. Must posses a valid Illinois Driver's License with minimum auto liability insurance.
Desired:	CPR Certification and Electronic Medical Records (EMR) Next Gen Computer experience.
Contact:	Human Resources, Will County Health Department 501 Ella Ave. Joliet, Il 60433 (815) 727-8822 Fax (815) 727-8526 www.willcountyhealth.org
Not Later Than:	11/19/20
Date Posted:	11/09/20

Job Features

Apply Online

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

EMPLOYMENT HISTORY - 1

Employment History - 2

Employment History - 3

PROFESSIONAL REFERENCES - 1

PROFESSIONAL REFERENCES - 2

PROFESSIONAL REFERENCES - 3

Applications without Signatures will not be considered for employment