PRELIMINARY APPLICATION FOR EMPLOYMENT
Position: Attending Physician (Internal Medicine) — Department: Department of Health and Human Services — Duration of Position: Continuous — Classification: Paygrade VII: $3,500.00
I. PERSONAL INFORMATION
- 1.1 Title: Dr.
- 1.2 First name(s): Mike
- 1.3 Last name: Coburn
1.4 Date of Birth: 21/06/1985
1.5 Phone number: 34283277
1.6 Email address: [email protected]
1.7 Place of Birth: Chester, UK.
1.8 Nationality: British (Dual citizenship)
1.9 Residential address: Sacred Heart, Little Bighorn Ave, Los Santos, San Andreas
1.10 Job position: Attending Physician (MD/DO)
II. EDUCATION
- 2.1 Name of High School: DeBakey High School for Health Professions
- 2.2 Year of graduation: 2003
- 2.3 Name of College/University (or N/A): Baylor College of Medicine
- 2.4 Year of graduation: 2011
III. EMPLOYMENT INFORMATION
- 3.1 Contact information of your last employer(s): Dr. Adam Kay MD. [email protected] at the Houston General Medical Center
- 3.2 Do you have any noteworthy job experience relevant to this vacancy? If so, where?
Fellowship in Internal Medicine at McGovern Medical, Attending in Internal Medicine at McGovern Medical
IV. CRIMINAL HISTORY- 5.1 Do you have a criminal record?
[] YES [X] NO
5.2 If yes to the previous question, please elaborate (or N/A): N/A
- 5.1 Do you have a criminal record?