On-line Employee Request Form 

 

If you are an employer seeking skilled medical professionals, simply complete the On-line Employee Request Form below. An American Staffing representative will contact you within 24 hours of submission. American Staffing Services, Inc...your partner in EMPLOYMENT!

Thank you for choosing American Staffing Services, Inc.!

 Your Name:  

 Company:

 
 Position:  
 Address:  
 City:  
 State/Providence:  
 Zip/Postal Code:  
 Country:  
 Work Phone:  
 Pager:  
 E-mail:  
Position Sought 
  Lab Tech   MD   Medical Assistant   MSW
  OR Tech   Nurse Aide   X-Ray Tech   Other
  PA   PT   Pharmacist  
  RN   OT   Dietitian  
  LPN   ST   MH/MR Worker  

 

What shifts are you looking to fill?
Part time   Full time   Day (7-3)   Evening (3-11)   Night (11-7)

 Specialty Skills Sought

  Med. Surgery   ICU   Oncology   List Speciality(ies)
  Orthopedics   CCU   Geriatrics  
  Neurology   IV Team   Rehabilitation  
  Trauma/Burns   Pediatrics   Psych  
  Emergency Room   OB-GYN   Operating Room  

 

 

American Staffing Services, Inc.
3356 Babcock Blvd.
Pittsburgh, PA 15237
1.888.875.7865

info@americanstaffingservices.com

 

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