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Step 1 of 3
Your Details
First Name
Last Name
Home Phone
(Including Area Code)
Cell Phone
(Including Area Code)
E-Mail
License Type
RN
LPN/LVN
Specialty
CTRL + click to select
multiple specialties
First Assist
Med Surg
Tele
ICU
EP Lab
ER
CCU
OR
CVOR
NICU
PICU
BICU
PACU
CVICU
SICU
PSYCH
PEDS
Peds ER
L&D
Post Partum
Nursery
Dialysis
Rehab
Obstetrics
CathLab
Oncology
Case Management
Home Health
EMR conversion
Ambulatory Surgery
CRNA
Stepdown
PCU
LTAC
Other
If Other:
Acute Care Experience
-- Select One --
Less than 1 yr
1 yr
2 yrs
3 yrs
4 yrs
5 yrs
6 yrs
7 yrs
8 yrs
9 yrs
10 yrs
11 yrs
12 yrs
13 yrs
14 yrs
15 yrs
16 yrs
17 yrs
18 yrs
19 yrs
20 yrs
21 yrs
22 yrs
23 yrs
24 yrs
25 yrs+
Please note that the minimum requirement by the agencies for travel is at least 1 year of experience after graduation
Date Available to Travel:
Select one
-----------------
available immediately
available within 1 to 3 months
available within 4 to 6 months
not sure
Desired Travel Location(s):
CTRL + click to select
multiple locations
Any State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
If Other:
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