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Healthcare Professionals

HEALTHCARE PROFFESIONALS

Fill-in Application Form below

Join our Medical Providers Hub!

Embark in your adventure with us in finding your dream job. We will work with you strategically in crafting the course of your chosen career in healthcare. We value and reward your specialized skills. We will work tirelessly with you to ensure that the confidence you entrusted in us to help you find a rewarding career is well earned. You have choices in working with other agencies; we take your choosing to work with us seriously and with great appreciation. Your career goal is important to us. If your calling is public service, you have a choice at MedHub. You will have a chance to work directly with Principal Investigators who work collaboratively with public health advocates to find a cure. MedHub also provides In-service training, performance evaluations, specific basic skill test exams, annual exams and other certifications required. Credentialing and specific requirements for any position are carefully evaluated. We have positions available for direct hires, long/short term contracts, travel and per diems in all clinical discipline and all shifts.

Healthcare Services for the following positions are needed:

  • Nurse Practitioners
  • Nurses
  • PT’s
  • OT’s
  • ST’s
  • ER Techs
  • Surge Techs
  • CNA’s
  • Pharma Technicians
  • Radiation Therapists
  • Physicians
  • Physician's Assistants
Application Form

Please fill-in your application with utmost care and copy-paste your resume on the Contact Us page. You can also email your CV at info@medicalprovidershub.com.

 

What position are you applying for:

PERSONAL INFORMATION
Full Name:

Address:

Contact Details

Do you have US Resident/Alien Status? YesNo


Has your license ever been suspended or revoked? YesNo
   
Have you ever been convicted of a misdemeanor or felony? YesNo
   

If yes, please give date, place of conviction and explain circumstances:

OTHER INFORMATION

Please put a check (✔) on which countries you are seeking employment:
(please note all overseas positions, not U.S., are a minimum of 1 year)

U.S.AustraliaDubaiCanadaNew ZealandUnited Arab EmiratesU.K.Southern IrelandSaudi Arabia

Terms Interested in:

Per DiemShort Term ContractLong Term ContractTravel Nurse24 Months36 MonthsPermanent

EDUCATION AND EXPERIENCE INFORMATION

Nursing Experience (please put a ✔ on all that applies):

Med Surg.PICUPost PartumNICUSDSACUOR/RecICU/CCUBurn ICUCVICUEndo/GICRNAERPsychTele/DOUCardiac CathNeuroStepdownOncologyRehabMICUPACUNeuro ICUPediatricsL&DSICUMBPCUOther

Ancillary Positions (please check one):

LPN/LVNSurgical TechMRI/CT TechPT/OTPharmacistOther

Do you have management experience? YesNo
   
Do you have CGFNS Certificate? YesNo

Do you have NCLEX Certificate? YesNo

Language Certification (if you studied nursing in English then this is not a requirement):

Did you take the Test of English as a Second Language (TOEFL) exam? YesNo  
       
Did you take the MELAB exam? YesNo  
       
Did you take the IELTS exam? YesNo  
       

Are you presently working for an Agency? Or a Traveling Nurse, what Agency? YesNo

REFERRAL INFORMATION

If you were referred to Medical Providers Hub, please enter the name of the person

If you have been in contact with an MPH Recruiter or Affiliate Office Recruiter, please enter his/her name:

Note: By affixing your signature in this application you are authorizing MPH to represent you/present your CV and credentials to any of MPH’s Clients. In the event that you decide not to move forward with the application after your CV have been submitted/ presented for interview or you have been discussed with our clients as potential candidate for the position and decide to apply on your own to any of MPH’s clients, please know that any of MPH’s clients will not be able to hire you without written consent from MPH. There will be a waiting period of two (2) years after which any of MPH’s clients may hire you without MPH’s consent.

How did you hear about MPH?

EMPLOYMENT HISTORY

List Current or most recent first. Complete even if accompanied with Resume.

May we contact your supervisor? YesNo


May we contact your supervisor? YesNo


May we contact your supervisor? YesNo


May we contact your supervisor? YesNo


REFERENCES

List 4 persons other than friends and relatives who have knowledge of your work experience or education:

AGREEMENT
I authorized thorough investigation of my prior employment, education background, and criminal record and where applicable to a position, credit check and or driving record. I agree to cooperate in such an investigation, to execute any consent forms required in connection with those investigations and release from liability and responsibility all persons or entities requesting or supplying such information. I understand that false, misleading or omitted information can result in refusal of employment or termination in cases where erroneous information is discovered after employment has begun. I understand that if I am offered employment and accept, this employment application becomes part of the terms and conditions of employment.
I understand that employment is contingent on supplying documents for Employment.


Eligibility Verification

Applicant's Signature: ___________________________________

Print full name:
Date: