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Valley Medical Staffing Internet Application Form

(This form can be submitted online or printed and faxed to 623-398-6781)

Name:
Email
Phone Number
Position are you applying for?
Previous Experience in this Position
Salary Requirement
Hours & Days Available
Have you been convicted of a felony in the last 7 years? (A yes answer does not automatically disqualify any applicant) **I do not need details in this field…just YES or NO**
Are you looking for a temporary or permanent position?

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