Michigan Spine and Brain Employment Application

Positions available:
Full Name*

First NameMiddle NameLast Name
Position available desired*
Capacity desired*

Full-timePart-time
We do not hire smokers. Are you a current smoker?*

YesNo
We consider candidates at various stages of their post-high school education at different educational settings (e.g. community colleges, 4-year universities, vocational colleges etc.) However, we would require candidate with a current GPA at or above 3.2. Is your current GPA at or above 3.2?*

YesNo

Professional Information
Salary requested*
Date you can start*
Are you currently employed?*
If so, may we contact your present employer?*
Please type your regular work availability (day and time). We are not open weekends. Note: Part-time and full-time require full work days.*
Example: Monday, Wednesday, Friday from 8:00am-5:00pm and Tuesday, Thursday from 12:00pm-3:00pm

Send application
All information submitted by me in this application is true to the best of my knowledge and belief. I fully understand that any significant misstatements or omissions from this application constitute cause for denial of appointment or cause for summary dismissal from the medical staff.
Signature*
COVID-19 UPDATE: Michigan Spine and Brain Surgeons, PLLC. require all staff to comply with Ascension Hospital COVID-19 vaccination requirements.
Subject(s) studied in high school?
Year of other graduation
Year of high school graduation
Did you graduate high school?

YesNo
Did you graduate college?

YesNo
Other
Name of College/University Attended
Subject(s) studied in other?
Other GPA
Year of college graduation
High school
Name of High School Attended
Subject(s) studied in college?
High school GPA
College
Name of College/University Attended
College GPA
Referrer
User Agent String
Should be Empty:

Open Response