Application for Employment

You must read the following, then click submit below after you agree.

I hereby certify that I am the person listed above in this application and that the information provided herein is correct and complete. I authorize American Medical Staffing, or its designated representative to investigate and verify any of the information bearing my employability and to use this information in connection therein. I authorize and request any and all persons including, without limitation, employers, former employers, references, schools, credit agencies, law enforcement agencies, government agencies and any other person who may have information relative to my abilities, business activities, police record, educational history, etc., to disclose all information to American Medical Staffing or it’s representatives, and I release American Medical Staffing and it’s representatives, employers, former employers, references, school, agency and persons and their successors from any or all liabilities arising from the investigation into my background, by reason of furnishing such information to American Medical Staffing or it’s representatives.

I understand that any misrepresentation (by omission or concealment or by false, misleading or partial answers), may result in the denial, withdrawal of work opportunities or the cancellation of any explicit or implied obligations.

I understand that the offer of work opportunities with American Medical Staffing is contingent upon satisfactory completion of any investigation which American Medical Staffing may undertake or direct concerning myself or any information furnished in connection with my candidacy for employment.

By submitting this form, I attest that the above information is true and concise and is free of omissions, false or misleading answers, and I am furthermore agreeing to consent to the above statements about investigations into my background, work history and or former education.