To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Click the Upload Resume to use your resume to pre-fill this application form.
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Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form:
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Passwords must be at least six(6) characters

Have you ever worked for this company?

Do you have any relatives that work for Revere Health?

I give consent for Revere Health to conduct a criminal background check.

Personal Information


How did you hear about us?

Additional Information

Employment History:

Responsibilities and Duties

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Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
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Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

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By submitting this application to Revere Health, I certify that all information is true, complete and correct.

I authorize the employer, its representatives, employees or agents to contact and obtain information from all references,
employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all
information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have
regarding employer, its agents, employee or representative, for seeking, gathering and using truthful and non-defamatory
information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing
such information about me.

I understand that this employer does not unlawfully discriminate in employment and no questions on this application are used for
that purpose.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the
employer and still wish to be considered for employment, it will be necessary to complete a new application.

I understand that if I am hired, that I will be required to provide proof of identity and legal authorization to work in the United
States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be
sufficient cause to eliminate me from further consideration for employment or may result in my immediate discharge from the
employer’s service, when ever it is discovered.