Complete this form and submit to a Direct Staff Medical Placement representative to be considered for employment. Be sure to complete all fields accurately and legibly.
Use this form to keep track of your time, and submit to Direct Staff Medical Placement by 12 noon following your work week via email or fax: 586-228-7274.
Use this form to keep track of your expenses, and submit to Direct Staff Medical Placement by 12 noon following your work week via email or fax: 586-228-7274. * Receipts must be submitted with Expense Report *
