Application for Physician






Address *

Are you 18 or Older?*


If an offer of employment is extended, proof of legal eligibility to work in the US will be required upon starting employment.

Type of employment desired? Check all desired




Do you know any of our current/past employees?





Employment History - You may attach a resume, however you must also complete this section.  Provide the following information of your past/current employers, assignments or career related volunteer activities starting with the most recent.  Do not omit any prior employers.

If currently employed, may we contact your current employer?

Work History

Can we contact them?

Reason for Leaving?

Add another position

Additional Information

Have you ever been convicted of a felony or a non-traffic misdemeanor?


References

Please enter the name and contact information of your references.

Educational History

Did you graduate?
Add another school

Resume & Cover Letter/Other attachments

Upload as many files as you need to strengthen your candidacy


Cover Letter / Additional Information(optional):

Authorizations

APPLICANT STATEMENT

Please review all information submitted and read carefully the statements below before

signing the application.

 

I understand and agree that:

 

  • The information provided herein is true, correct and complete to the best of my knowledge.  I

understand and agree that any false, misleading or incomplete information given in my

application, interview(s) or other pre-employment and procedures, regardless of

when discovered by Timeless Skin Solutions, will be sufficient basis for my disqualification for

employment or if employed, the termination of my employment with Timeless Skin Solutions.  I

agree that Timeless Skin Solutions shall not be liable in any respect if I am not hired or if my

employment is terminated as a result of providing false, misleading or incomplete information.

 

  • I authorize the investigation of any and all statements made in this application, my resume and

interview.  This includes, but is not limited to contacting and obtaining information from all

references, employers, public agencies, licensing authorities and educational institutions.  I

hereby waive any and all rights and claims I may have regarding the employer, its agents ,

employees or representatives, for seeking , gathering and using such information in the

employment process and all other persons, corporations or organizations for furnishing such

information about me.

 

  • This application does not constitute an offer or employment and I understand that, if I am

employed  by Timeless Skin Solutions, my employment may be terminated by me or Timeless

Skin Solutions at any time with or without cause.  This application does not constitute an

Agreement or contract for employment for any specified period or definite duration.  I

understand that no supervisor or representative of the employer is authorized to make any

assurances to the contrary and that no implied oral or written agreements to the contrary are

valid unless they are in writing and signed by the President of Timeless Skin Solutions.

 

  • I understand employment is subject to verification of all information contained in the application or other pre-employment questionnaires or interview(s) including but not limited to verification of ability to perform essential functions of the position with or without reasonable

Accommodation and of applicable lawful age and legal right to remain in and to work in the

United States as provided under applicable law.

 

  • If I employed by Timeless Skin Solutions, I agree that I will comply with Timeless Skin Solutions

policies and procedures.  I also understand that these and other communications may be made to me electronically, and that I may be required to acknowledge receipt by electronic means.

By clicking submit, I certify that I have read, fully understand and accept all the items stated in the Applicant Statement.