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Apply Online | Employment Application
 
 
   PERSONAL INFORMATION
Name :
Street Address :
City, State, Zip :
Social Security No :
Position Applying For: :
Home Tel :
Cellular :
Beeper/Pager :
E-Mail :
Other (Specify ) :
     
   WORK HISTORY
Current or Last Employer :
Street Address :
City, State, Zip :
Salary : Dates Worked : From To
Reason for Leaving :
May We Contact This Employer To Obtain Reference? :
Yes   No
Tel :
Supervisor :
Job Title :
Name Used While Employed :
Duties :
Prior Employer :
Street Address :
City, State, Zip :
Salary : Dates Worked : From To
Reason for Leaving :
Tel :
Supervisor :
Job Title :
Name Used While Employed :
Duties :
 
   EDUCATION
 
Name of College or Nursing School :
Street Address :
City, State, Zip :
Were You Ever Convicted Of A Crime? :
Yes   No
If Yes, Please Explain :
Name Used While Attending :
Degree/Course/Certificate :
Date Received :
 
*Criminal conviction (s) will not automatically disqualify an applicant from employment with Sun Medical Staffing, Inc.
 
PLEASE READ AND SIGN
I hereby authorize Sun Medical Staffing, Inc and also authorize and request each former employer and person, firm or corporation given as a reference to answer all questions that may be asked and give all information that may be sought in connection with this application specifically concerning my work, skill or my professional action in any transaction. My employment with Sun Medical Staffing, Inc. will not begin until such references are received.

I agree, in consideration of your employing me that I will not seek or accept employment from any client of Sun Medical Staffing, Inc. without first obtaining permission from Sun Medical Staffing, Inc. and I agree to remain on the Sun Medical Staffing, Inc. payroll for an additional 350 hours or the terms agreed upon by all parties. I understand that if I am in violation of this agreement, I am subject to legal action and monetary damages.

I understand that this employment application is not a contract and that if hired, my employment with Sun Medical Staffing, Inc. can be terminated with or without cause, and with or without notice, at any time, at the option of Sun Medical Staffing, Inc. I also understand that any and all benefits received pursuant to employment with Sun Medical Staffing, Inc. may be changed or eliminated at will without prior notice.

I consent to having a background check done on my history, including a social security number verification, and I understand that my employment might hinge on this check, including termination if after I am hired, Sun Medical Staffing, Inc. acquires information that precluded my hire.

I understand that all applicants are required to undergo screening for the presence of illegal drugs or alcohol as a condition of employment at Sun Medical Staffing, Inc. I will be required to voluntarily submit to a urinalysis test at a laboratory chosen by the company and by signing this consent agreement I release Sun Medical Staffing, Inc. from liability. I understand that with positive test results I will be denied employment at this time, but I may initiate another inquiry with Sun Medical Staffing, Inc. after 6 months. Sun Medical Staffing, Inc. will not discriminate against applicants for employment because of past abuse of alcohol/drugs. Neither will Sun Medical Staffing, Inc. tolerate the current abuse of alcohol/drugs. I may also be asked to voluntarily submit to urinalysis tests for Cause/Post Incident Screening , Post Accident Screening and at the request of any client prior to starting an assignment.

I authorize Sun Medical Staffing, Inc. to copy and forward my personnel file contents to any and all agencies which require this of Sun Medical Staffing, Inc. I hereby certify that all of the above information is true and correct. I understand that any misrepresentation or false information given on this application will result in rejection or termination of employment.
 
Applicants Signature :   Date :
 
 
FOR OFFICE USE ONLY - DO NOT WRITE BELOW
 
   INTERVIEW COMMENTS
 
Interviewed By : Position :   Office :
 
Interviewer's Signature : Date :
 
 
 
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