Welcome

Thank you for your interest in employment with Flexible Medical Staffing

Flexible Medical Staffing is an Equal Employment Opportunity employer and it is our policy to consider all applicants for employment without regard to sex, race, color, creed, religion, national origin, sexual orientation, marital status, age, disability, veteran status, alienage, ancestry, citizenship status, or any other factors prohibited by law.

This site requires the use of cookies. Please click here to test if cookies are enabled.

Please enter the following information:
Required fields are marked with (*)

General Information
Social Security Number:
* First Name: Middle Initial: * Last Name:
Nick Name:
* Address 1:
Address 2:
* City: * State: * Zip Code:
* Phone:
Mobile: Mobile Provider:
By completing cell carrier information you acknowledge that you may incur text charges depending on your individual cell plan.
Work:
Emergency Number: Contact Person:
* Email:
If you do not have an Email address please use "your phone number"@flexiblemedicalstaffing.com
If you have a copy of your resume or cover letter in Word format please attach them below.
Employment Type:
Shifts: Days Evenings Nights Weekends (Check all that apply)
Salary: $
When are you available?
Your contact at Flexible Medical Staffing
Please tell us where you heard about us?
Have you ever worked for Flexible Medical Staffing before? Yes No
Are you a U.S. Citizen or legally eligible for employment in the U.S.? Yes No (Proof of Citizenship or eligibility is required upon employment in keeping with IRCA.)
Have you ever been convicted of a felony, any type of theft, fraud or violent crime? Yes No
If yes, please explain conviction, when, where and disposition:
Conviction of a crime will not automaticaly disqualify you from consideration for employment, but will be considered as part of an overall evaluation of your qualifications.
Type of Degree/Certification:
RN LPN/LVN Respiratory Therapist Speech Pathologist
Radiology Tech Certified Surgical Tech/OR Tech CNA/STNA
Nurse Practitioner Occupational Therapist Physical Therapist
Other
Professional Licenses / Technical Certificate
Type Organization or State Issued Date Issued Number
Do you have malpractice insurance? Yes No     Certificate Date: Format: MM/DD/YY
Have you even had disciplinary action taken against you for any violations of the Practice Act pursuant to the state(s) that you have been or are currently licensed/certified in? Yes No
Are you currently under investigation for any violations? Yes No
Click the Next Page button when you finish.
Please allow extra time to transfer the resume and cover letter documents.