Get Primacare Application Form

Completing the Primacare Application Form online is a straightforward process designed to help you showcase your qualifications and experience. This guide provides step-by-step instructions to ensure that you fill out each section accurately and efficiently.

Follow the steps to complete your application with ease.

1. Press the 'Get Form' button to obtain the Primacare Application Form and open it in your selected editor.
2. Begin with the personal data section. Input your full name, social security number, and address clearly. Ensure that your phone numbers are correct, and answer whether you are over the age of 18, are a U.S. citizen, and if you have ever been convicted of a felony within the last five years.
3. In the position data section, specify if you are applying for full-time, part-time, or temporary work. Indicate the position you are applying for, your availability, and any specific shifts you can work.
4. Fill out your employment and education history, starting with your most recent job or volunteer experience. Provide complete details, including your employer's name, contact information, position held, dates of employment, salary, and reason for leaving.
5. Complete the education record by listing all relevant institutions you attended, along with course names, years attended, and degrees or diplomas earned.
6. List three references who are not related to you or previous employers, providing their complete names, addresses, and phone numbers.
7. Indicate your office skills by checking all relevant options, such as typing speed, shorthand, and software proficiency.
8. If applicable, provide information regarding any professional licenses or certifications, including registration details and whether your certification has ever been suspended.
9. Review the entire application for accuracy, then certify that all information provided is true and complete by signing and dating the form.
10. Finally, save your changes, and you can choose to download, print, or share the completed form to submit your application.

Start your application process today by filling out the Primacare Application Form online.