| 1. |
Term of employment |
|
_____ |
1 year or more |
| |
|
|
| 2. |
Compensation |
|
_____ |
Fixed salary |
|
_____ |
Per diem daily rate per shift worked |
|
_____ |
Percentage of production compensation |
|
_____ |
Performance bonus |
| |
|
|
| 3. |
Work schedule |
|
_____ |
Days and hours |
| |
|
|
| 4. |
Benefits |
|
_____ |
Health (medical and dental) |
|
_____ |
Disability |
|
_____ |
Life insurance |
|
_____ |
Malpractice insurance |
|
_____ |
Vacation |
|
_____ |
Continuing education allowance |
|
_____ |
Professional membership fees, dues and licenses |
|
_____ |
Moonlighting |
|
_____ |
Book royalties and honorariums |
|
_____ |
Retirement plan |
|
_____ |
Maternity leave |
| |
|
|
| 5. |
Termination events |
|
_____ |
With cause |
|
_____ |
Without cause |
| |
|
|
| 6. |
_____ |
Covenant not to compete |
| 7. |
_____ |
Non-solicitation of clients and staff members |
| 8. |
_____ |
Equity ownership |
