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Application for Employment

Please fill out the form completely.

Medlink is a certified Drug-Free Workspace. Effective January 1, 2010, MedLink Georgia is a Tobacco Free Workspace.
Employment practices are not influenced or affected by an applicant's race, color, religion, gender, national origin, age, political affiliation or any other characteristic protected by law.

Personal Information

*required fields

Educational Information

Graduate School


Technical / Business

High School

Additional Training

Profession Information

Employment Information

Job 1

Job 2

Job 3


By submitting this applicant, you agree to the following:

The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

I understan that acceptance of an offer of employment requires my adherrence to the MedLink Drug Free Workplace and MedLink Tobacco Free Workplace policies.

If you decide to engage in an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.