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Onsite Medical Service
Onsite Medical Service, Inc
  • Home
  • About
  • Resources
  • Services
    • Audiometric Testing Services
    • Fire Department Physicals
    • Mobile Hearing Tests and OSHA Training
    • Noise Testing Services
    • OSHA Respirator Fit Testing
    • Otoscopic Examinations
    • Respirator Medical Clearance
    • Silica Medical Surveillance
  • Hearing Sign in
    • Confidential Hearing History Questionnaire
  • Scheduling
  • Online Respiratory Clearance
  • Careers
  • Contact
Get a Quote
Get a Quote
Onsite Medical Service
Onsite Medical Service, Inc
  • Home
  • About
  • Resources
  • Services
    • Audiometric Testing Services
    • Fire Department Physicals
    • Mobile Hearing Tests and OSHA Training
    • Noise Testing Services
    • OSHA Respirator Fit Testing
    • Otoscopic Examinations
    • Respirator Medical Clearance
    • Silica Medical Surveillance
  • Hearing Sign in
    • Confidential Hearing History Questionnaire
  • Scheduling
  • Online Respiratory Clearance
  • Careers
  • Contact

Onsite Medical Service, Inc Employment Application

Growing company located in the west metro area is looking for Technicians to perform on-site hearing tests in Minnesota, Wisconsin, & occasionally North & South Dakota.

Step 1 of 4

25%
MM slash DD slash YYYY
Your Name(Required)
Address(Required)
MM slash DD slash YYYY
When is the best time for us to reach you via telephone?
If you are under 18 years of age, can you provide a work permit?(Required)
Previously Employed by Onsite Medical Service, Inc?(Required)
Are you legally eligible to work In U.S.?(Required)
Available(Required)
Have you every pleaded guilty, no contest or been convicted of a crime?(Required)
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
This field is hidden when viewing the form
This field is hidden when viewing the form

High School

Did you graduate?(Required)

College

Did you graduate?

Other (Specify)

Did you graduate?

Previous Employment (begin with most recent position)

Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $


Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $


Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $

By submitting my application, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period oi time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use uf disability-re­lated or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
Name

List three references (other than relatives) that have knowledge of your work experience and abilities:

Name of 1st Reference(Required)

Name of 2nd Reference(Required)

Name of 3rd Reference(Required)
Do you currently have relatives or friends working for Onsite Medical Service, Inc?(Required)
Would you agree to pre - hiring and random drug testing?(Required)
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Onsite Medical Service, Inc Employment Application

Growing company located in the west metro area is looking for Technicians to perform on-site hearing tests in Minnesota, Wisconsin, & occasionally North & South Dakota.

Step 1 of 4

25%
MM slash DD slash YYYY
Your Name(Required)
Address(Required)
MM slash DD slash YYYY
When is the best time for us to reach you via telephone?
If you are under 18 years of age, can you provide a work permit?(Required)
Previously Employed by Onsite Medical Service, Inc?(Required)
Are you legally eligible to work In U.S.?(Required)
Available(Required)
Have you every pleaded guilty, no contest or been convicted of a crime?(Required)
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
This field is hidden when viewing the form
This field is hidden when viewing the form

High School

Did you graduate?(Required)

College

Did you graduate?

Other (Specify)

Did you graduate?

Previous Employment (begin with most recent position)

Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $


Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $


Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Full-Time or Part-Time Position?
May we contact employer?
Starting Pay: $

Ending Pay: $

By submitting my application, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period oi time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use uf disability-re­lated or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
Name

List three references (other than relatives) that have knowledge of your work experience and abilities:

Name of 1st Reference(Required)

Name of 2nd Reference(Required)

Name of 3rd Reference(Required)
Do you currently have relatives or friends working for Onsite Medical Service, Inc?(Required)
Would you agree to pre - hiring and random drug testing?(Required)
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

ONSITE MEDICAL SERVICE, INC.
7990 69th Ave., Rockford, MN 55373
Serving Minnesota, Wisconsin, North Dakota, South Dakota, Iowa and More!

Office Hours: 8:00 a.m. to 4:30 pm
PHONE: 877-972-2281

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