HOME | NEWS | CONTACT US Online Job Application Form Radiological Associates of Sacramento (RAS) is an equal opportunity employer. Applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race, color, creed, national origin, sex, age, religion, political affiliation, marital status, sexual orientation, handicap or disability, or any on-the-job related handicap or medical condition. WHEN COMPLETING YOUR APPLICATION, PLEASE FURNISH COMPLETE AND ACCURATE INFORMATION. A FALSIFIED OR INCOMPLETE APPLICATION WILL NOT BE CONSIDERED. General Information First name M.I. Last name Street address City State ZIP code Evening phone Day phone Example: 916-555-1212 E-mail     Position Position for which you are applying: Job status you will accept:   F/T    P/T    Temp   #Hrs/Week Shift you will accept:   Day   Evening    Weekends    Date available to begin employment:    Desired Salary: Have you applied to this company before?   Yes   No     If "yes," give date and position:    State name(s) of any relative(s) employed by this company    Are you 18 years of age or older? Yes   No     If "no," can you provide a work permit? Yes   No Have you ever been convicted of a felony? Yes   No     If "yes," explain    For purposes of compliance with the Immigration Reform and Control Act, are you legally eligible for employment in The United States?   Yes   No     You will be required to provide documentation of your eligibility to be     employed and verifying your identity should you be hired. Education (List degrees/certificates completed or in progress)   Fill in name of school and check highest grade completed High school    9    10    11    12  College / university    13    14    15    16  College / university    17    18    19    20  Professional / tech school  Professional licenses      Employment history (Begin with current or most recent position and include up to 10 years work history) Additional skills Use this space for any additional information you think it would be helpful in evaluating your application. Include professional memberships, training, workshops, seminars, specialized skills, special achievements, or other relevant information. Omit from this section any reference to organizations or activities that would indicate your race, creed, nationality, religion, age, sex, sexual orientation or disability. Do not paste your resume into this box. Your resume can be attached at the end of this application form. Character Limit 500. How did you hear about this position?   Newspaper classified advertisement Media   Professional journal/publication Media   Private employment agency Agency   Private school bulletin board Facility   Relative or employer employed by company Name   RAS Web site       Other Explain References Business references only, preferably previous supervisors. List only references that you wish to be called. Reference 1 Name Business relationship Address Phone   Reference 2 Name Business relationship Address Phone   Reference 3 Name Business relationship Address Phone Resume upload If you wish, you can upload your resume to us. REQUIRED: Please "check" each box below to indicate agreement and initial at the right. By submitting this form I verify that the responses given by me to the foregoing questions and statements are true and correct. I authorize Radiological Associates of Sacramento Medical Group, Inc. to investigate all statements contained herein. I understand that if I am hired as an employee of Radiological Associates of Sacramento (RAS) and at any time thereafter it is discovered that any information provided by me on this employment application or any other information provided by me in the course of applying for employment at RAS is found to be false, untruthful or misleading, my employment may be terminated immediately. initial Should I become a final candidate, I authorize RAS to contact all previous employers concerning my prior employment. I also authorize RAS to contact all references listed on this application concerning my personal character and performance during previous employment and any other background checks the Company feels is appropriate. I agree to hold RAS free from liability for any statements made in the course of contact with previous employers and references listed on this application. initial I further understand that if I am offered and accept employment at RAS, my employment is "at will," which means that I may terminate my employment at any time and that RAS may terminate my employment at any time with or without notice and with or without reason or cause. In the event of my employment by the Company, I agree to abide by all present and subsequently issued policies of the Company. I understand that if hired, I will be required to sign a form verifying my legal right to work in the United States and produce documentation of my identity within three business days of my date of hire. initial Submit application   Back to Top  |  Home  |  Careers  |  Site Search  |  Site Map  |  Media  |  Contact Us Privacy Notice © 2006 Radiological Associates of Sacramento