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Henry Ford Wyandotte Center for Health Services - Ambulatory Surgery Center, Awarded Press Ganey Summit Award

Anesthesia Staffing Consultants, Inc. (ASC) would like to congratulate Henry Ford Wyandotte Center for Health Services, which was recently awarded teh Press Ganey Summit AwRead More

Senators Alan Cropsey, Mark Jansen and Jason Allen visit the ASC office

Senators Alan Cropsey, Mark Jansen and Jason Allen visited ASC on Monday, February 1, 2010 to to meet with ASC's president Paul Santoro and congratulate him on hRead More
ASC Employment Application
Looking for the perfect anesthesia position? ASC has the answer. Whether you are seeking full time, part time, or occasional work, ASC has an opportunity that will fit your needs. Please fill out the form below and an ASC representative will be in touch with you.

Personal Information
   
First Name : *
Middle Name :
Last Name : *
Other names used(Maiden or other) :
Address : *
City : *
State : *
Zip Code : *
Home Phone : *
Mobile :
Other :
Email : *
Best Method of contact :
How were you referred to our company ?:
 
Education(including internship/residency if applicable)
       
Institution City/State Dates of Attendance Degree
  *   *   * *
 
Licensure
   
Are you licensed in Michigan? : Yes No
 

Board Certification(if applicable)
   
Specialty Board : *
Date Certified :
Expiration Date :
If not certified,are you Board Eligible? : Yes No
 

Current Employment

   
Hospital/Facility : *
Start date :  
End date :  
Reason for Leaving :
 
Preferences
   

GEOGRAPHICAL AREA

SCHEDULE TYPE
Oakland County : Yes No Locum Tenens : Yes No
Macomb County : Yes No W2/Employee : Yes No
Port Huron : Yes No Contract: Yes No
Saginaw : Yes No If yes, how many days per week? :
Lansing : Yes No If yes, how many days per month? :
Flint: Yes No
Jackson : Yes NoDate available to start work :
Hillsdale : Yes No    
Ypsilanti : Yes No
Downriver : Yes No
Cheboygan : Yes No
 
Skill Set (Please check the types of cases you are able/willing to perform)
 
Pediatrics : Yes No ENT : Yes No
Pediatrics <6 mo : Yes No Hearts : Yes No
Vascular : Yes No Eye : Yes No
Thoracic : Yes No Transplant : Yes No
OB : Yes No General surgery : Yes No
Regional : Yes No Plastics : Yes No
       
Years of Experience with:      
Regional Blocks Difficult Airways
30200 Telegraph Road, Suite 220 Bingham Farms, MI 48025 Phone: 248-258-5058 Toll Free:877-663-2762