Michigan Spine and Brain Employment Application

Positions Available:

Thank you for your interest in Henry Ford Michigan Spine and Brain Surgeons. As of February 1st 2025, we are now officially part of the Henry Ford Medical Group.

If you are interested in exploring career opportunities with us, please click the link below to be redirected to Henry Ford's career page. You can submit your application directly through their website.

Radiology Technologist - Full Time:

https://henryford.referrals.selectminds.com/jobs/radiology-technologist-full-time-days-southfield-122546
Full Name*

First NameMiddle NameLast Name
Position available desired*
Capacity desired*

Full-timePart-time
We do not hire smokers. Are you a current smoker?*

YesNo
We consider candidates at various stages of their post-high school education at different educational settings (e.g. community colleges, 4-year universities, vocational colleges etc.) However, we would require candidate with a current GPA at or above 3.2. Is your current GPA at or above 3.2?*

YesNo
What attracts you to this practice? *
What would your former employer say about you as an employee? *
Why have you chosen to apply for the position(s) you have selected? *
Tell us about your proudest achievement.*
Why are you qualified for the position(s)? *
Why should we make you a part of our team? *
Personal Information:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Are you legally authorized to work in the United States?*

YesNo
Have you ever been convicted of a crime/felony?*

YesNo
If yes, please explain.
How did you hear about our company?*
Professional Information
Salary requested*
Date you can start*
Are you currently employed?*
If so, may we contact your present employer?*
Please type your regular work availability (day and time). We are not open weekends. Note: Part-time and full-time require full work days.*
Example: Monday, Wednesday, Friday from 8:00am-5:00pm and Tuesday, Thursday from 12:00pm-3:00pm
Education:
Education History (SCROLL OVER TO FILL OUT ALL REQUIRED FIELDS)*
Employment History
Employment History*
Professional References (include at least three)*
Resume and Transcript:
Resume*

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Transcript(s)*

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Cover letter (optional)

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Related Skills / Experience
Additional Information
Interview Availability
Please select three dates and times at which you would be able to interview.
First Availability for interview*
Second Availability*
Third Availability*
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All information submitted by me in this application is true to the best of my knowledge and belief. I fully understand that any significant misstatements or omissions from this application constitute cause for denial of appointment or cause for summary dismissal from the medical staff.
Signature*
COVID-19 UPDATE: Michigan Spine and Brain Surgeons, PLLC. require all staff to comply with Ascension Hospital COVID-19 vaccination requirements.
Subject(s) studied in high school?
Year of other graduation
Year of high school graduation
Did you graduate high school?

YesNo
Did you graduate college?

YesNo
Other
Name of College/University Attended
Subject(s) studied in other?
Other GPA
Year of college graduation
High school
Name of High School Attended
Subject(s) studied in college?
High school GPA
College
Name of College/University Attended
College GPA
Referrer
User Agent String
Should be Empty:

Personal Information:

Professional Information

Education:

Employment History

Resume and Transcript:

Interview Availability

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