Virginia Interventional Pain & Spine Centers

Midlevel Providers

Full time employees enjoy several benefits:

Competitive salaries
Health, Dental and Eye insurance options after 60 days of employment
Investment in a 401K saving plan after I year of employment.
Paid holidays
A friendly work environment
Regular hours 8:00 am to 5:00 pm Monday through Friday

Interested applicants must submit a current resume, three references (2 professional, 1 personal) and complete the VIPSC job application.

Applications can be forwarded to the office in one of three ways.

Drop off at our business office at 3405 Ogden Rd, Roanoke, VA 24018
Mailed to PO BOX 21565 Roanoke, VA 24018
Faxed to 540-206-3826

Introductory Information:

Name*

Date*

Address*

City*

State*

Zip*

Phone*

Applicant Questions:

Type of worked desired*

Salary desired*

Date Available*

If hired, can you provide documents required to establish your eligibility to work in the U.S.?*

Yes No

Are you 16 years of age or older? *

Yes No

How were you referred to VIP?*

Have you ever been convicted of, or pleaded guilty or no contest to, a crime other than a minor traffic violation? *

Yes No

If yes, please explain in detail on a separate piece of paper and include the date of final disposition of the case and the nature of the offense. This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Education:

High School or last grade completed:

Name & Address of School*

Course of Study*

Number of years completed*

Degree/Diploma*

College or Technical School:

Name & Address of School*

Course of Study*

Number of years completed*

Degree/Diploma*

Other Schooling or Training:

Name & Address of School

Course of Study

Number of years completed

Degree/Diploma

Military Experience:

Does Not Apply

Branch of Service

From

Rank/Type of Service

Special Training/Experience*

Record of Employment:

List positions starting with most recent:

Employer*

Telephone*

Address*

Position Title*

Supervisor*

Start Date*

Date Left*

Beginning Salary*

Ending Salary*

Duties*

Reason for Leaving*

Employer*

Telephone*

Address*

Position Title*

Supervisor*

Start Date*

Date Left*

Beginning Salary*

Ending Salary*

Duties*

Reason for Leaving*

Employer*

Telephone*

Address*

Position Title*

Supervisor*

Start Date*

Date Left*

Beginning Salary*

Ending Salary*

Duties*

Reason for Leaving*

WORK-RELATED REFERENCES: (Do not include relatives)

Name*

Occupation*

Years Known*

Contact Information*

Name*

Occupation*

Years Known*

Contact Information*

Name*

Occupation*

Years Known*

Contact Information*

Statement (Please read this statement carefully before signing this application):

I understand that employment with Virginia Interventional Pain and Spine Center (the Company) is at-will, meaning that I or the Company may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

I authorize the Company to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Company, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

I understand that the Company requires the successful completion of a drug and/or alcohol test as a condition of employment.

I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.

Agree with the terms and conditions