Employer: Clinic 2 You Health Care
Address: 5069 Okeechobee Blvd., West Palm Beach, Florida 33417
Telephone: 561-714-9130

It is the policy of Clinic 2 You Health Care to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Who should be contacted if you are involved in an emergency?

List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

List any two non-relatives who would be willing to provide a reference for you.