MEDDirect Application

https://MEDDirect.online/apply-today

You will complete the form by entering information into text boxes. Use the Tab or arrow keys to navigate from field to field. Where a signature is required, you will sign theform electronically by typing your name into the text field provided. Text fields will resize to accommodate youranswers. This may change the page layoutof the form but you need not be concerned by this.  

Be certain to save your changes to your computer before returning the form via EMAIL. We also suggest you print a copy of this application for your records.You may also fax the completed form to 303-850-9799.

Please don’t hesitate to call or text us for assistance in completing this form at: (303) 850-9080. 

Thank you, 

The MEDDirect Team 

Policies and Procedures

(Check all that apply)


Once I accept an offer for a position through MEDDirect, I agree to contact MEDDirect as soon as possible before my scheduled start date if my status should change for any reason.

If you are only interested in direct hire positions, please skip to the ACCEPTANCE area and sign.


TEMPORARY AND TEMP TO EMPLOYEE ASSIGNMENT POLICIES

STATUS CHANGES: Any status changes can be recorded on the twenty-four (24) hour MEDDirect phone line - (303) 850-9080. Changeswill not take effect until one full business day after the message is received. 

AVAILABILITY: MEDDirect requires that you call the MEDDirect office upon completion of each assignment. When you call the MEDDirectoffice you will be put on the availability list and considered for assignments, as they become available. If you do not call the MEDDirect officeand notify us of your availability we will consider you “unavailable” or to have quit. RATE OF PAY: You will be paid according to yourassignment. You will be told your rate of pay when the assignment is offered

OVERTIME AUTHORIZATION: A member of the MEDDirect staff MUST authorize overtime work over 40 hours in one week. 

REASONABLE NOTICE: MEDDirect asks that you serve one (1) week's notice if you find that you cannot complete your assignment. If youdo not serve one (1) week's notice you may be terminated from MEDDirect and ineligible for employment. 

GROUNDS FOR TERMINATION: Termination could result because of any one or more of the following circumstances: 1. Tardiness. 2. Absenteeism. 3. Failure to report to an assignment or interview. 4. Failure to complete an assignment. 5. Failure to serve “reasonablenotice.” 6. Insubordination. 7. Disclosure of your hourly rate of pay. 8. Approaching the employer in regards to direct employmentwithout MEDDirect Jobs consent or knowledge. 9. Insufficient references. 10. Lack of response to our calls for assignments and/or interviews.

NOTE: In certain states, if you fail to contact us, without good cause, unemployment benefits may be denied. 

TIME SHEET DEADLINE: You must report your time for work performed to MEDDirect no later than 3:00pm on Monday of the week followingthe week that you work. If this Monday is on a holiday which MEDDirect is closed, the deadline for reporting the time you have worked isextended until 3:00pm Tuesday. If you do not notify MEDDirect of your hours worked your paycheck will be delayed at least one week.• EMAIL your signed timecard to MEDDirect before the Monday following the week that you worked so that it is received no later than 3:00pm.

PAYDAY: Payday is every Friday or every other Friday. Your check will be mailed. On weeks that contain a holiday, payday may be delayed. If you do not have your check, MEDDirect's policy is that you must wait fifteen (15) business days before a new check will be issued unlessyou agree to have the stop payment fee deducted from your wages.I verify I have read, agreed to and received a copy of MEDDirect’s “Policies and Procedures.” 

Digital Signature

Federal law prohibits discrimination based on age, race, religion, sex, or national origin. Information given throughyour profile cannot and will not be used for any discrimination purposes. 


PLEASE PRINT AND COMPLETE ALL FIELDS

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Bilingual Skills?


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Date Availble for Work

Indicate days available:

Do you have use of a vehicle?

Are you a student?


EMPLOYMENT HISTORY: PLEASE LIST BELOW YOUR FORMER EMPLOYERS BEGINNING WITH THE MOSTRECENT

“SEE RESUME” DOES NOT COMPLETE THE EMPLOYMENT HISTORY

Job History 1

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Position:


Job History 2

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Position:


Job History 3

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Position:


PRIOR SUPERVISORY REFERENCES

May we contact your present employer?

Are You Presently Employed? 

Does your present employer know you are considering leaving? 


EDUCATION INFORMATION – If this is on your resume, you may skip this section. 

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Graduated?
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High School Experience

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College or University

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Other

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Are you a U.S. Citizen?  

Can you provide evidence that you are legally able to work in the United States?

Have you used an Electronic Medical Record (EMR)? 

Please LIST the COMPUTER SYSTEMS YOU HAVE EXPERIENCE WITH.

APPLICANT – PLEASE READ THIS AUTHORIZATION BEFORE SIGNING 

I agree that I have been informed of the requirements of the work for which I am applying, and that the information on this application iscorrect and complete to the best of my knowledge. I understand that is shall be grounds for immediate dismissal if any of the informationcontained herein is found to be untrue. I authorize you and all former employers, given by me as references or previous supervisors, toanswer all questions and to give all information in connection with this application or in any way concerning me. I understand that if acceptedfor employment, I will be working for you on your payroll, at your client’s premises. I agree that I will obtain your permission before discussingpermanent employment with your client. I agree to immediately notify you at the conclusion of each assignment or as soon as I becomeavailable. If I fail to give such notice, you may assume that I am not available for reassignment, and am not ready, willing and able to work. Iunderstand that any information I learn while working for a client is to be kept confidential. I agree, if employed by you, that if I ever makeclaims against you for personal injuries, upon your request I shall submit to examinations by physicians of your selection. I will hold youharmless from any claims including, but not limited to personal injury or illness is a result of my providing false or misleading information onthis application. I hereby acknowledge that my employment is “at will”, that I may resign at any time and the company may terminate myemployment at any time, with or without cause.

Digital Signature

By typing your name into the Applicant's Signature field above, you are hereby signing this form electronically.