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CRNA Career Opportunities

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Position: CRNA - Associated Anesthesiologists, P.A.

Thank you for your interest. Before you begin, please review the CRNA Job Description by clicking on the blue button above. Once you have reviewed the CRNA Job Description, please complete the fields below and click "Submit".

Career Opportunities - CRNA

"*" indicates required fields

PART I: PERSONAL INFROMATION

Name (First)*

(Middle Initial)*

(Last)*

Previously Used Name(s):

Email:*

Telephone:*

Address:*

Street Address City State / Province / Region ZIP / Postal Code

PART II: PROFESSIONAL LIABILITY QUESTIONS

Please answer the following questions as accurate as possible. Provide explanation and attach relevant documents when necessary:

1. Are you a U.S. citizen, a U.S. resident, or an alien authorized to work in the United States?*

Yes

2. Have you ever had your employment terminated, or resigned in lieu of termination?*

Yes

3. Have you had your license or certification in any state investigated, suspended, or had disciplinary action taken against it?*

Yes

4. Has your professional status ever been involuntarily suspended or not renewed?*

Yes

5. Have you ever been named as a defendant in any professional liability actions?*

Yes

6. Has your professional credentialing ever been restriced or revoked?*

Yes

Please explain any "Yes" answer for questions 2 through 7:

Please attach relevant documents as necessary pertaining to Part II: Professional Liability Questions.

Max. file size: 100 MB.

No file chosenChoose a file to upload

PART III: AAPA EMPLOYMENT PROFILE QUESTIONNAIRES

Please check you preference.

1. You are a:*

CRNA

SRNA

If you are a SRNA, when do you plan to take the certification exam?

MM slash DD slash YYYY

2. Desired Full-Time-Equivalent Status:*

3. Desired Shift(s):*

4. Availability Date:*

MM slash DD slash YYYY

5. Desired Site(s):*

You may indicate up to 3 preferences for question 5 by numbering in the box below:

Example: 1st choice = Any available site; 2nd choice = Rotate; 3rd choice = United Hospital

PART IV: JOB-RELATED SKILLS

Please verify that you have reviewed the CRNA Job Description by clicking on the blue button at the top of the application page.

1. Have you reviewed the job description or had the requirements of the job explained to you?*

Yes

2. Do you understand these requirements?*

Yes

3. Can you perform the requirements of this job with or without reasonable accommodation?*

Yes

Please list any other skills, licenses or certificates that that you feel would be of value to this job or our organization.

PART V: LICENSURE & CERTIFICATIONS

Please list all active nursing licenses & certifications (RN, CRNA, BLS, ACLS, etc.).

Licensing Authority/State Board:*

Type:*

Number:*

Exp. Date:*

MM slash DD slash YYYY

Licensing Authority/State Board:

Type:

Number:

Exp. Date:

MM slash DD slash YYYY

Licensing Authority/State Board:

Type:

Number:

Exp. Date:

MM slash DD slash YYYY

BLS Exp. Date:

MM slash DD slash YYYY

ACLS Exp. Date:

MM slash DD slash YYYY

PALS Exp. Date:

MM slash DD slash YYYY

NRP Exp. Date:

MM slash DD slash YYYY

Other License/Certification:

EDUCATION

Please list all completed or in-program degrees or diplomas starting with the highest degree or diploma earned.

Degree / Diploma:*

Institution:*

Major / Program:*

City & State:*

Degree / Diploma:*

Institution:*

Major / Program:*

City & State:*

Degree / Diploma:

Institution:

Major / Program:

City & State:

Degree / Diploma:

Institution:

Major / Program:

City & State:

PART VI: EMPLOYMENT HISTORY

Please list all employments in the last 10 years, beginning with your current or most recent.

Employment History 1

Job Title:*

Start Date - End Date:*

Employer:*

Reason for Leaving:*

Contact Person:*

Contact Information:*

Address:*

Street Address City State / Province / Region ZIP / Postal Code

Responsibilities / Achievements:

Employment History 2

Job Title:

Start Date - End Date:

Employer:

Reason for Leaving:

Contact Person:

Contact Information:

Address:

Street Address City State / Province / Region ZIP / Postal Code

Responsibilities / Achievements:

Employment History 3

Job Title:

Start Date - End Date:

Employer:

Reason for Leaving:

Contact Person:

Contact Information:

Address:

Street Address City State / Province / Region ZIP / Postal Code

Responsibilities / Achievements:

Employment History 4

Job Title:

Start Date - End Date:

Employer:

Reason for Leaving:

Contact Person:

Contact Information:

Address:

Street Address City State / Province / Region ZIP / Postal Code

Responsibilities / Achievements:

PART VII: REFERENCES

All applicants are responsible for obtaining three references; please provide your list in the sections below. Once your application is submitted, AAPA will send a form for your references to complete and return back to AAPA for further review.

Reference 1

Name:

Date:

MM slash DD slash YYYY

Relationship to Reference:

Job Title:

How many years have you known the reference:

Reference's Email:

Reference's Telephone:

Reference 2

Name:

Date:

MM slash DD slash YYYY

Relationship to Reference:

Job Title:

How many years have you known the reference:

Reference's Email:

Reference's Telephone:

Reference 3

Name:

Date:

MM slash DD slash YYYY

Relationship to Reference:

Job Title:

How many years have you known the reference:

Reference's Email:

Reference's Telephone:

Attachments

Please attach your curriculum vitae (required) and cover letter in the upload fields below.

Curriculum Vitae*

Max. file size: 100 MB.

No file chosenChoose a file to upload

Cover Letter

Max. file size: 100 MB.

No file chosenChoose a file to upload

Consent*

I agree to the following terms:

I authorize Associated Anesthesiologists, P.A. (AAPA) and its representatives to make an investigation of my past employment and educational background. I authorize my past or present employer, and educational institutions, to release information concerning my employment and educational background to AAPA. I hereby release all persons, past and present employers, and educational institutions from any liability to me if they supply information to AAPA. I hereby waive any privilege I have to such information.

I certify that the information provided in this application and during the hiring process is true and complete. I agree that if there is any misrepresentation or omission concerning the information on this application, on my Resume', or during the hiring process, any offer of employment to me may be withdrawn, and if I have already been hired, my employment may be terminated.

I understand that nothing contained in this employment application or in the granting of an interview, and no AAPA policies, procedures, or handbooks that I might receive if I am hired, are intended to create an employment contract between AAPA and me for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon AAPA unless made in writing and signed by an authorized officer of AAPA.

No promises concerning the nature or length of my employment have been made to me. If I am hired, I understand that I have the right to terminate my employment at any time, and for any reason. I also understand that the company has the same right to terminate my employment at any time and for any reason. I understand that no one employed by the company has the authority to modify these conditions, except in a written document signed by the president of the company.

I understand that any offer of employment by AAPA may be contingent upon my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.

I understand that if I am hired, I will be required to sign a confidentiality statement and conflict of interest statement as a condition of my employment.

My signature reflects that I have read, understand, and have agreed to these terms and conditions. I understand that this application will be considered active for six (6) months (student nurse anesthetists, six (6) months after graduation date), and that if I wish to be considered for employment after that time, I must submit a new application.

This field is for validation purposes and should be left unchanged.

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CRNA Career Opportunities

Work for a company that values your expertise.

Position: CRNA - Associated Anesthesiologists, P.A.

Career Opportunities - CRNA

PART I: PERSONAL INFROMATION

PART II: PROFESSIONAL LIABILITY QUESTIONS

PART III: AAPA EMPLOYMENT PROFILE QUESTIONNAIRES

PART IV: JOB-RELATED SKILLS

PART V: LICENSURE & CERTIFICATIONS

EDUCATION

PART VI: EMPLOYMENT HISTORY

Employment History 1

Employment History 2

Employment History 3

Employment History 4

PART VII: REFERENCES

Reference 1

Reference 2

Reference 3

Attachments

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