NextGenRx Job Application Fill out the application below and we'll get back to you. "*" indicates required fields Name* First Last Phone*Email* Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I Am Seeking:* Full-Time Part-Time Either Desired Salary/Hourly Rate:* Highest Level of Education:*Choose Highest Level of EducationGEDHigh School DiplomaSome CollegeAssociates DegreeBachelor's DegreeProfessional DegreeDegree Obtained: Where Did You Attend High School? Year Graduated: Where Did You Attend College? Year Graduated: List Certifications:Are you verified to work in United States?* Yes No Do you have a valid driver's license?* Yes No Can you stand for prolonged periods of time?* Yes No Do you have a reliable means of transportation?* Yes No CommentsThis field is for validation purposes and should be left unchanged.