Job Application: Submit Your Resume – Medical

Title: Submit Your Resume – Medical

Fields marked with an asterisk (*) must be filled out before submitting.

Contact Information

Your Staffing Partners Branch *
First Name *
Last Name *
Email Address *
Address 1 *
Address 2
City *
State *
Zip code [#####] *
Phone [###-###-####] *
Alternate Phone [###-###-####]

Qualifications

Do you have a degree? * Yes
No
Where did you complete your degree?
Title of your degree
What is your classification? *
If your classification is RN, what are your specialties?
In addition to receiving phone calls, are you open to receiving text messages announcing our immediate orders? * Yes
No
Can you work as far as the coast, Eugene, Hood River, and Vancouver? * Yes
No
The majority of our positions are per-diem. Are you open to that, or do you require temp to hire or direct hire only? * I am open to per diem.
I require temp to hire or direct hire.
What is your availability? *
Can you work the following?
(please check all that apply) *		 Weekends
Days
Swing
NOC
Some jobs may require you to lift 50 – 70 lbs. Is that ok? * Yes
No
Do you use any of the following to get to work? (please check all that apply) * Bus
Car
Shared ride
Will you submit to pre-employment drug testing per company policy? * Yes
No
Have you ever been convicted of a felony crime? * Yes
No
Do you have proof of eligibility to work in the United States? * Yes
No
Please list any other staffing firms you have worked for
Where did these staffing firms send you?

Upload Your Resume / CV

Your Resume [.PDF, .DOC, or .DOCX]
I do not have a resume to upload

Current / Most Recent Employer

Company Name
Title / Position
Compensation
Start date
End date
Supervisor name
Supervisor phone
Supervisor email
Job duties
Reason for leaving

Previous Employer

Company name
Title / Position
Compensation
Start date
End date
Supervisor name
Supervisor phone
Supervisor email
Job duties
Reason for leaving

Previous Employer

Company name
Title / Position
Compensation
Start date
End date
Supervisor name
Supervisor phone
Supervisor email
Job duties
Reason for leaving

Submit Your Finished Application

 
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