Employment Opportunities:

We are always looking for talented people. If you are interested in working for us here at Complete Cosmetic Surgery Center, please fill out the application below:

APPLICATION FOR EMPLOYEMNT:

Date:
Social Security #:

1. Personal Information

Name:
Work Phone:
Home Phone:
Fax:
Email:
Referred by:

2. Have you ever applied to this company before?

If "yes," when:

3. Are you employed now?

Current Employer:

4. Salary Desired?

Amount:

5. May we contact the employers listed below?

If "no," why:

6. Please,list any additonal information that relates to your ability to perform the job for which you have applied,such as special training, machine opertaions, hobbies, languages, ect.

Additonal Info:

7. Have you been conviced of a felony within the past 7 years? Please note: A conviction will not necessarily disqualify applicant for employment.

If "yes," please explain:

8. In case of emergency, notify:

Name:
Address:
Phone:

9. Eductaion:

High School:
Years Attended:
Graduated?
Course or Major:

College:
Years Attended:
Graduated?
Course or Major:

Trade/Business School:
Years Attended:
Graduated?
Course or Major:

Any Certifications or Licenses:

10. Former Employers (list last three employers below starting with the most current)

Employer / Company #1:
Address:
Telephone:
Job Title:
Supervisor:
Dates Employed (From - To):
Hourly Rate/Salary (Starting - Ending):
Duties:
Reason for leaving:

Employer / Company #2:
Address:
Telephone:
Job Title:
Supervisor:
Dates Employed (From - To):
Hourly Rate/Salary (Starting - Ending):
Duties:
Reason for leaving:

Employer / Company #3:
Address:
Telephone:
Job Title:
Supervisor:
Dates Employed (From - To):
Hourly Rate/Salary (Starting - Ending):
Duties:
Reason for leaving:

11. References: Please provide the names of three persons not related to you whom you have known for at least one year.

Name:
Address:
Phone:
Business:
Years Acquainted:

Name:
Address:
Phone:
Business:
Years Acquainted:

Name:
Address:
Phone:
Business:
Years Acquainted:

You can submit this form now, print it and mail it, or fax it to:

Stephen W. Gordon, M.D.
Complete Cosmetic Surgery Center, Inc.
7710 W. Sahara, Suite 102,
Las Vegas, NV 89117

FAX (702) 242-5107

Additional Information: