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CORAM DEO HOLISTIC CENTER

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Member of American Holistic Health Association

501(c)3

Nonprofit

Status

CDH Work@Home

NO CHROMEBOOKS

First Name

Email

Have you ever worked from home before?

Are you okay with working indepedently and making your own schedule?

Last Name

Phone Number

Is it ok to text you?

Available start date

Do you have a desktop or laptop that is working and in condition already?

What kind of desktop/laptop do you have? If you do not own either one put N/A

What industry are you interested in? (check as many as you like)

Cruises/Sales

Tech Support

Roadside Assistance

Customer Service/Troubleshooting

Home Improvement

Are you bilingual? If so, check languages you speak besides English

Spanish

French

Other

Who referred you?

What time of day are you interested in working?

Morning 6a-2p

Afternoon 2p-6p

Evening 6p-10p

Overnight 10p-6a

Do you live in one of the following states:

California

Connecticut

Maryland

Massachusetts

New York

Oregon

Wisconsin

I DO NOT LIVE IN THE ANY OF THE STATES LISTED

PLEASE CHECK EMAIL INCLUDING SPAM FOLDER FOR FOLLOW UP INSTRUCTIONS

Thanks for submitting!

If you live outside the USA state the country below

Coram Deo Holistic Center

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