Online Job Application | Vascular Access Plus

Applicant Information
Today's Date*
MM slash DD slash YYYY
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth
Month
Day
Year
Phone*
Email
Position Applied For (Choose ONE)*
- Full-time Nursing - Insertion
- Casual- Clinic Infusion Nurse
- Home Health Casual Nursing - Infusion
- Home Health Part-time Nursing - Infusion
- Administrative
Date Available to Start*
MM slash DD slash YYYY
Has Your Nursing License Ever Been Suspended?*
- Yes
- No
If Yes, Explain*
How did you hear about us?*

Indeed, Website, Reference (who?)

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Applicant Eligibility to Work
Are You a Citizen of the United States?*
- Yes
- No
Are You Authorized to Work in the United States?*
- Yes
- No
Have You Ever Worked for this Company?*
- Yes
- No
If Yes, list position and employment end date.*
Have You Ever Been Convicted of a Felony?*
- Yes
- No
If Yes, Explain*

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Previous Employer #1
Company*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Supervisor*
Job Title*
Starting Salary*
Ending Salary*
Responsibilities*
Reason For Leaving*
May We Contact Your Previous Supervisor for a Reference?*
- Yes
- No
Previous Employer #2
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Reason For Leaving
May We Contact Your Previous Supervisor for a Reference?
- Yes
- No

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File*
Max. file size: 50 MB.
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Disclaimer
I certify that my answers are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including verification of professional license as required and background investigations which may include an examination of educational credentials, criminal convictions, and driving records as required by the responsibilities of the position.

I understand that employment with Vascular Access Plus may be contingent upon completion of a urine drug screen, physical assessment, background check including education, professional licensure / certifications, criminal convictions, and employee references.

This application of employment shall be considered active for a period of time not to exceed forty five (45) days. Any application wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the nurse may resign at any time, and Vascular Access Plus may discharge the nurse at any time with or without cause. It is further understood that this “at will” employment relationship may not be charged by any written document, or by conduct, unless such changes are specifically acknowledged in writing by an authorized executive of Vascular Access Plus.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate discharge. I understand, also, that I am required to abide by all the rules and regulations set forth by Vascular Access Plus.

Submitting this online job application indicates that I have read the job description for the position and can carry out the duties and responsibilities stated therein.

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Step 1 of 6 - Applicant Information

Applicant Information

Applicant Eligibility to Work

Education

Current Employer

Previous Employer #1

Previous Employer #2

Resume - Please Upload Your Most Current Resume Below

Disclaimer

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