Steps to Travel

1. Fill out an application

Filling out an application online immediately sends us the information we need to start. However, after you submit a completed application, you are NOT obligated to travel with us.

2. Meet your recruiter

After carefully reviewing your application a recruiter will contact you to discuss your goals and answer any questions you may have.

3. Complete your profile

Your recruiter will collect your resume, references and skills checklist.

4. Choose a destination

Specific locations, settings and monetary concerns will be addressed.

5. Interview, offer, and pack your bags

Your recruiter will help prepare you for your phone interview with the facility representative. Next, you are offered an assignment, Congratulations! You've gotten an offer and chosen your first travel assignment as a Physical, Occupational or Speech Therapist. Now, Advanced Medical will assist you with locating Private Corporate Housing close to your chosen facility. If housing is not a requirement, a generous allowance will be agreed upon at this time. Here at Advanced Medical, we pride ourselves on attention to detail. We want to help make your chosen assignment not only profitable, but an enjoyable and rewarding experience! Pack your bags!

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Employment Application

All Licensed Therapists Welcome

Personal Information
First Name:
Middle Name:
Last Name:
Street Address/ P.O. Box:
City:
State:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Home Phone:
Cell Phone:
Fax:
Pager:
E-mail Address:
Emergency Contact Name:
Emergency Contact Phone:
Driver's License State:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Are you legally authorized to work in the United States?	Yes No
Who can we thank for your referral?
Are you currently working with an Advanced Medical Recruiter? If so who?
Have you ever applied to or been employed by Advanced Medical Personnel Services, Inc.?	Yes No
Have you ever been convicted of any felony within the last 10 years?	Yes No
Check As Appropriate: (Certification)	PT PTA OT COTA SLP
Type of Employment Desired:	Travel (13-26 weeks) Direct Placement Fast Response (4 week only) Management

Professional Licensure/Certification

State: Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY License Number: Expiration date: (mm/dd/yyyy)

Employment History Clinical positions most recent first
Employed from:	(mm/dd/yyyy)
Employed to:	(mm/dd/yyyy)
Facility:
City:
State:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Facility Supervisor's Name:
Facility Supervisor's Telephone Number:
Your Title:
Was this a travel assignment?	Employee Travel Assignment
Reason for Leaving:
Employment History
Employed from:	(mm/dd/yyyy)
Employed to:	(mm/dd/yyyy)
Facility:
City:
State:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Facility Supervisor's Name:
Facility Supervisor's Telephone Number:
Your Title:
Was this a travel assignment?	Employee Travel Assignment
Reason for Leaving:
Employment History
Employed from:	(mm/dd/yyyy)
Employed to:	(mm/dd/yyyy)
Facility:
City:
State:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Facility Supervisor's Name:
Facility Supervisor's Telephone Number:
Your Title:
Was this a travel assignment?	Employee Travel Assignment
Reason for Leaving:
Education Information
What is the highest clinical degree/certification received? 1. School Name, City & State: Area of Concentration: Year Graduated from School: Select Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 Degree Type:
2. School Name, City & State: Area of Concentration: Year Graduated from School: Select Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 Degree Type:

Assignment Preferences
Location:	Where do you want to go?
Describe your ideal position:
When are you available to start?	(mm/dd/yyyy)
In selecting your next assignment, what is your most important consideration?
Copy and Paste your resume below
4000 Character Limit (equivalent to 1 1/3 pages, 12 pt. type single spaced)

	PT PTA OT COTA SLP DOR	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

	PT PTA OT COTA SLP DOR	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY