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Home
Services & Specialities
Our Providers
Contact & Locations
- Request an Appointment
Pay My Bill

Employment

To be considered for a position within Colonia Healthcare. please complete our Employment Application below and attach your resume or CV at the end as requested.

Please note that all fields marked with an * are required fields and must be completed in order to submit your application.

First Name

Last Name

Social Security Number

Phone Number

Email Address

Street Address

City

State

Zip Code

Position(s) Applied For:

Wages Desired:

How Did You Learn About This Posistion?

May We Contact You At Work?

Yes No

Have You Work For Colonial Before?

Yes No

Are You Eligible For Employment In The USA?

Yes No

Have You Been Convicted Of/Plead Guilty To Any Crime (Other Than Traffic Ticket)?

Yes No

Date Available To Begin To Work:

If Hired, Will You Work:

Overtime Saturdays Holidays None

If Employed, How Will You Get To Work?

Upload Your Resume:

Please Note: Any information submitted using this form is transmitted securely and held in the strictest of confidence, protecting your privacy.

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Aviso de no Discriminación

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Contact Info

(803) 773-5227

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Delay Notice

Due to a scheduled water shutdown at our offices (325 & 327 Broad St.), including urgent care, we will delay opening tomorrow and open at 9:30 a.m. Thank you for your understanding.