U.S. Got People - Medical and Information Technology Staffing

Job Interest Form - Please feel free to fill out our job interest form

If a specific job is currently unavailable, send your job interest form and resume anyway. We will keep it on file and notify you of future openings. If a field is required but doesn't apply to you, please respond with "NA." After you have submitted this job interest form, please download our full application, on the job openings page, and send it to carenas@usgotpeople.com if you're interested in a PART-time postion or to jgamboa@usgotpeople.com if you're interested in a FULL-time position. You can also fax your application to 210-738-3195 or if you have an appointment with one of the consultants, please bring it with you.

First Name:
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Middle Name:
Last Name:
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Social Security #:
Date of Birth:
Address:
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City:
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State:
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Zip Code:
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Phone Number:
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Work Phone:
What is the best time to call you?
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Email Address:
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Are you legally eligible for employment in the United States?

Have you ever been convicted of a felony? (Conviction of a crime will NOT result in automatic disqualification if yes please explain below)

If you answered yes in being convicted of a felony please explain below.
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Please select your title.

If your title is not indicated please let us know your title (ex.: office assistant):
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If applicable please list all the states in which you are currently licensed or have been licensed. (Include: state license # exp. date)
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Has your license ever been suspended revoked or investigated? (if yes please explain below)

If yes please state below why.
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What is your specialty and how many years experience do you have?
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Do you have acute care experience?

If you have acute care experience how many years?
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Have you ever worked for an agency before?

If yes which one(s)?
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Which facilities have you directly applied to?
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Are you staff at any hospital?

If yes where?
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When are you available to start working?
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What schedule do you desire: mornings/days or nights?
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What is your desired pay?
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Were you referred by anybody? If so who?
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If you have a resume please upload it for a quicker response.
Upload Resume:

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Upload your resume.
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