Transcription of Employment Application - "For All Your Staffing …
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Employment Application - "For All Your Staffing …
Employment ApplicationDate:LAST Name:Address:Zip/Postal Code:SS Number:Home Phone:Cell Phone:Positions Applied for:Salary Desired:Shifts Available to Work:Full-Timepart-timeFull or part-timeTravelPer DiemPermanentWhen available to begin work?SteadFast Medical Staffing , Chesapeake Blvd Suite305 Norfolk, : 757-215-5716 Fax: :Job InformationRNNPLPN/LVNCNASTTECHOTHERTYPE OF AASSIGNMENT YOU ARE AVAILABLE FOR7AM-3PM3PM-11PM11PM-7AM7AM-7PM7PM-7 AMCALLOTHERSPECIFY:SPECIFY:AREA OF WORK DESIREDHOSPITALCLINICLONG-TERM-CAREHOME HEALTHREHABOTHERSPECIFY:SPECIFY:DAYS OF THE WEEK AVAILABLEMONTUEWEDTHURFRISATSUNLANGUAGE SKILLS OTHER THAN ENGLISHSPANISHFRENCHGERMANOTHERSPECIFY.
Education. Type of School Name of School and Complete Mailing Address. No. Years Completed Major or Degree. High School College Bus. or Trade School
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