Careers

This Online Job Application has been designed to make the application process quick and easy, and is for the Headache & Pain Center, Day Surgery, Inc. and One Day Surgery, LLC.

When you apply using our online form, you will receive a confirmation page showing your application has been successfully sent and that we will review it.

Personal Information
Name (Last Name First)
(Required)
Present Address
City
State
Zip
Social Security Number
Phone w/Area Code
(Required)
Email Address
(Required)
Are you eighteen or older? Yes    No
Desired Employment
Are you presently employed? Yes    No
If yes, what is your current occupation?
Position applying for?
Are you applying for full time or part time? Full time    Part time
Desired Hours?
Date you can start?
Desired Weekly Salary
Desired Location
Former Employers
Job References (Last 3 employers. Include name, address, telephone and contact person.)
Any restrictions on work schedules? If so what?
References
How were you referred to this company?
Please list 3 personal references with name, address, phone #, relationship, & years known.
Educational Background
a. High school information
b. Did you graduate? Yes    No
c. College information
d. Did you graduate? Yes    No
e. Other information. Trade school, etc...
Special skills or training that would help you with this job.
Service Record
Military Service? Yes    No
If yes, state branch, discharge date, rank at discharge and type of discharge.
Have you been convicted of a felony within the last 5 years? Yes    No
If yes, explain. (Will not necessairly exclude you from consideration)
Extra comments:

  Please complete as many fields as possible.
Submission of this form signifies you have read and accept the Authorization Agreement below.

Authorization/Agreement: Headache & Pain Center, amc, Day Surgery, Inc. and One Day Surgery, LLC is an Equal Opportunity Employer

I certify that the facts contained in this online application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give Headache & Pain Center, amc, Day Surgery, Inc. and One Day Surgery, LLC any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period or time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

At Will Employment: All employment at the Headache & Pain Center, amc, Day Surgery, Inc. and One Day Surgery, LLC is "at will". This means that either employer or employee may terminate employment with or without cause at any time.

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