Community Housing Innovations


	Administrative Specialist

	Medical Billing

	Adult & Family Literacy (GED)

	Apprenticeship Program

	Request a Career Services Application

	Employment Assistance

	Employers Looking for Employees

	Resource Links

Application

* (indicates required fields) In order to process your request, please include all the required information.

* First Name:
* Middle Initial:
* Last Name:
* E-mail address:
* Street Address:
* City:
* State:
* Zip code:
* Home Phone #:
Work Phone #:
Cell Phone #:
Date of Birth:	------------- Month / Day / Year
Social Security Number#:	--------------------Optional
DSS Recipient:	Yes No
If Yes, Case #:
High School Diploma/GED:	Yes No
College Education:	1 year 2 years 3 year 4 years
Degree attained:	Yes NO
I am interested in the following program:	General Equivalency Degree (GED) English as a Second Language (ESL) Medical Billing Administrative Intake Specialist

Privacy Notice:
It is our practice not to share the above information
or the content of messages you send us for marketing purpose.