NextGenRx Job ApplicationFill out the application below and we'll get back to you.Name* First Last Phone*Email* Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I Am Seeking:* Full-Time Part-Time EitherDesired 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 NoDo you have a valid driver's license?* Yes NoCan you stand for prolonged periods of time?* Yes NoDo you have a reliable means of transportation?* Yes NoNameThis field is for validation purposes and should be left unchanged.