Are you seeking employment in the healthcare industry? Quality Medical Staffing Agency, LLC could be your vehicle towards career and professional growth.

We employ:

  • Registered Nurses
  • Licensed Practical Nurses
  • Certified Nursing Assistants
  • Respiratory Therapists
  • Physical Therapist
  • Sitters
  • Allied Health Professionals
FOR JOB SEEKERS
QUALITY MEDICAL STAFFING AGENCY, LLC
QUALITY MEDICAL
STAFFING AGENCY, LLC

Connect with us:
(866) 404-7672
Staff@qmstaffing.com
Info@qmstaffing.com 
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QUALITY MEDICAL
STAFFING AGENCY, LLC
© 2014  QUALITY MEDICAL STAFFING AGENCY, LLC

WEBSITE FOR $50 | WWW.WEBSITEFOR50.COM

We offer:

  • Highest Pay in the Industry
  • Weekly Compensation
  • Credit Union Membership
  • Disability Insurance
  • Loyalty Incentives
  • Time and 1/2 for traditional and non-traditional holidays
  • Facility and Nurse Recruiting Bonuses
  • 24-hour Support
  • Cancellation Compensation
Please submit an application to express your intent in being included in our network of health care professionals:
First Name
Last Name
Home Phone
Cell Phone
Email
Street Address
City
State
Zip Code
Work Objective
Date Available to Start
Profession
Specialty
Years of Experience at
your current profession
Would you like to Travel?
Places you are willing to travel
Is your professional license valid in which state(s)
Certifications
Other:
Have you work at your current profession the last 12 months?
Are you employed now?
Do you have management experience?
How many months?
Do you have supervisory experience? 
How many months?
Do you have charge nurse experience
How many months?
Have you work as travel nurse?
How many months?
Have you work on these units before?
Medical/Surgical
How many months?
Critical Care/Emergency Room
How many months?
Nursery/Neonatal/Pediatric
How many months?
Obstetrical
How many months?
Operating Room
How many months?
PACU
How many months?
Psychiatric 
How many months?
Telemetry/PC 
How many months?
Long Term Care 
How many months?
Homecare  
How many months?
Hospice
How many months?
Doctors Office (Clinics)
How many months?
Shift Preference
Terms of Assignments
Education (College)
School
Location
Degree
Did you graduate?
Education (Vocational)
Education (High School)
Has your professional license or certification ever been investigated or suspended?
Have you ever been convicted of a crime other than a minor traffic violation?
Have you ever been named as a defendant in a professional liability action?
Can you submit verification of your legal right to work in the United States?
If you will be employed on a visa, please specify the type of visa.
Person to notify just in case of emergency
Name
Relationship
Phone
Alternate Phone
Employment History (May we contact your present employer?)
Employer (most current)
Department
Dates
Comments
-
Employer
Department
Dates
Comments
-
Employer
Department
Dates
Comments
-
This is not an offer of employment, but we will contact you upon receiving your electronic data. We will match your experience with our clients needs and we will call you within 24-72 hours. If you have any questions, please call us.
YesNo
CPR
PALS
ACLS
BLS
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Days
Evenings
Nights
8-Hour Shift
12-Hour Shift
Daily
Prn (On-Call)
3 Months
6 Months
Permanent Placement
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo