Per Diem Application

Please check off the settings in which you have prior experience in.

I certify that the information contained in this application is correct to the best of my knowledge and I understand any falsification, misrepresentation or omissions on this application is grounds for a refusal to hire, or if hired, dismissal. I authorize any of the persons or organizations referenced in this application to give MAS Medical Staffing any and all information concerning my previous employment, education or any other information they may have, with regard to any of the subjects covered by this application and release all such parties and MAS Medical Staffing from all liability from any damage that may result from furnishing such information. I authorize MAS Medical Staffing to request and receive such information. I acknowledge that any offer of employment, or my acceptance of an employment offer, if such is to occur, may be withdrawn, with or without cause and with or without prior notice, at any time, at the option of MAS Medical Staffing or myself. If employed, I understand that I will be an employee “at-will” and either MAS Medical Staffing or I may terminate my employment at any time with or without notice for any reason not in violation of the law. I agree to comply with MAS Medical Staffing rules, regulations and policies, and acknowledge that these rules, regulations, and policies may be changed, interpreted or supplemented any time, and without prior notice to me. I agree to have a post-offer, pre-employment physical examination as required for my position and understand that any offer of employment is contingent upon my passing this physical examination which relates to state and federal laws and regulations.