Application for Employment

NOTICE: The Fair Credit Reporting Act (Public Law 91-508) requires that we notify you that a routine inquiry may be made which will provide applicable information concerning character, general reputation, and personal characteristics. Upon written request, additional information as to the nature and scope of this report, if one is made, will be provided.

To Applicant: We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualifications and may assist us in possible future upgrading.

Universal Pediatric Services, Inc. provides equal employment and advancement opportunity for all qualified individuals without distinction or discrimination because of race, creed, color, gender, religion, age, national origin, sexual orientation, gender identity, physical or mental disability or veteran status.

Part 1 - Personal Information

How did you hear about us?

(indeed.com, craigslist.com, careerbuilder.com, etc.)
(State Fair, Kids Fest, etc.)