Work References:
Name:
Position:
Phone:
Name:
Position: Phone:
Name:
Position:
Phone:
This AGREEMENT is made with Dental Staffing Solutions (DSS), Inc.
a Florida corporation.
Services To Be Performed. DSS will assist applicant in
finding PERMANENT and/or TEMPORARY employment as either a temporary employee
or as an independent contractor .
Payment. In
consideration of temporary employment or a working interview, the employee
or
independent contractor (temp) will be paid an hourly rate for services
performed. A daily check will be paid to a temporary upon completion of
assignment by Client - Dentist (unless other arrangements have been made
between Independent Contractor and Client – Dentist). DSS may choose to
employ the temporary worker directly for certain temporary assignments and
in that instance the temp will be paid weekly upon submission of a completed
time sheet by DM Employer Services, Inc. (DMES)
Time
Sheets. Temporary jobs or
working interviews require employer or independent contractor to submit a time
sheet for
all services performed for Client-Dentist. Time cards are required to be
turned into DSS weekly.
Independent Contractor. The parties intend
Applicant to be an Independent Contractor in the performance of these
services. Contractor shall have the right to control and determine the
method and means of performing the above services; Client - Dentist shall
not have the right to control or determine such method or means.
Employee. The parties
further agree that if work is accepted as a temporary employee then all
rules, policies, and safety precautions set forth by DSS and DMES must be
followed. Employee is further required to call our office after each
assignment to update their availability. If you do not call our office to
update your availability then DSS will consider you have found other means
of employment and you will be removed from active status.
Other Clients.
Employee or Contractor retains the right to perform services for other
Agencies or Client - Dentists not referred by Dental Staffing Solutions.
Employment Agency will
not be responsible (for independent contractor) for
income taxes, unemployment insurance, social security taxes, and workers'
compensation insurance on independent wages earned. Temporary employees will
receive a net paycheck less required taxes and year end w-2 form.
Verification of
Licensure, References and/or Job and Criminal History. Dental Staffing Solutions has
permission to verify the information entered on my employment application. I
attest that all information I entered on my employment application is true
and correct to the best of my knowledge. I hereby release DSS and
DMES, its agents, officials and representatives both individually and
collectively, from any and all liability for any damages that may arise from
this authorization and request for release of information.
I further understand that
Dental Staffing Solutions acting on my behalf is providing a service to me
and is due a finders fee paid by their Client - Dentists. I acknowledge I am
responsible for the finders fee if I do not inform Dental Staffing Solutions
within 24 hours of a job offer whether temporary or permanent. I further
understand I will be responsible for all court and/or attorney’s fee
necessary to collect a finders fee from me if found responsible for
violating this agreement.
By electronically submitting this contract, you
are accepting our terms and conditions. Your application will be
processed and you will be referred for employment. If you choose to decline
at this time, you may e-mail or call one of our placement coordinators at
(727)547-8233 or (813)877-8233 with any questions about the services we
provide.
By
typing my name below, I affirm that all information submitted on this
application is true and correct and I accept the Employment Agreement stated
above.
Employee's
electronic signature
Date