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Application

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:
Zip:
Home Phone:
Cell Phone:
Fax:
Pager:
E-mail Address:
Emergency Contact Name:
Emergency Contact Phone:
Driver's License State:
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:
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:
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:
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:
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:
Degree Type:
2. School Name, City & State:
Area of Concentration:
Year Graduated from School:
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)
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