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First Name:* Last Name:* City:* State:* Zip:*

Country:*

Email:* Phone Number:*

Recent Title / ProfessionCMA / RMA (Certified or Registered Medical Assistant)
CNA (Certified Nurse Assistant)
CNS (Clinical Nurse Specialist)
CRA (Clinical Research Associate)
CRNA (Certified Registered Nurse Anesthetist)
Director of Nursing
Intern
LPN or LVN
Nurse Manager or Supervisor
Nurse Practitioner
Nursing Aide, Orderly, or Attendant
PA (Physician Assistant)
RN (Registered Nurse)
Nursing - related position(s)
No / None or Does Not Apply

Years experience in profession:

Education

Current / recent company you have worked

Current / recent specific title

Current license / certificationYes
Currently in progress

If applicable - list training, degrees, certifications

Currently licensed in state

Specialty areas with experienceAcute Care
Administrative / Office
Ambulatory Care
Bariatric Surgery
Burn ICU
Cardiology
Case Management
Cath Lab
CICU or CVICU
Correctional
Dermatology
Dialysis
Education / Teaching Programs
Electronic Medical Records / Document Management
Emergency Room
Endocrinology
Family / Internal Medicine
Fertility / Reproductive Therapy
Gastroenterology
Geriatrics
Hematology
ICU
Infectious Diseases / Disease Management
Labor / Delivery
Medical / Surgery
Mental Health or Addiction
Neonatal care / Nursery
NICU
Neurology
Nutrition
OB / GYN / Women's Health
Occupational Medicine
Oncology
Operating Room (OR) or Surgery
Ophthalmology
Orthopedics
PACU / Post Anesthesia / Recovery
Pediatric ICU (PICU)
Pediatrics
Physical Therapy
Plastic & Reconstructive Surgery
Primary Care
Public & Community Health
Radiology
Rehabilitation
Research
Respiratory & Pulmonary
Scheduling
Telemetry / Stepdown
Special Procedures
Transplants
Triage
Urology
Vital sign (checking & monitoring)
Nursing - related experience
No / None or Does Not Apply

Experience in environmentsClinic / Outpatient
Government Health Care Facility
Home Health
Hospital
Insurance
Long Term Care or Hospice
Medical or Physician Offices
Medical Lab
Medical Spa / Diet Center
Mental Health Office
Nursing Care Facility
Physical Therapy Center
Camp / School
Vision Care Center
Social Services or Occupational Therapy Facility

Supervisory or management experienceYes
No / None or Does Not Apply

Fluent in language(s) other than EnglishSpanish
Chinese
French
Tagalog
Vietnamese
Korean
German
Russian
Arabic
Other language

Employment status preference(s)Full-time
Part-time
Per Diem

Employment type(s) preferredEmployee
Temporary
Contract
Intern

Times available to workWeekdays
Weekday Evenings
Weekday Nights
Weekend Days
Weekend Evenings
Weekend Nights

Military Status (answer if desired on profile)

RelocationI am willing to relocate.
No / None or Does Not Apply

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