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Job Application
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Personal Information
First Name
*
Last Name
Email
*
Phone
*
Street Address
*
City
*
State
*
Zip
*
Job Interest & Experience
Position Interested In
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Specialty
*
CNA
LPN / LVN
RN
Do you have a clear background?
*
Yes
No
Have you worked as a nurse for AT LEAST 2 years?
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Yes
No
Will you have transportation or have access to transportation to and from your assignment?
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Yes
No
What shifts are you available to work?
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Select All
12 hour - Days
12 hour - Nights
8 hour - Days (1st Shift)
8 hour - Evenings (2nd Shift)
8 hour - Nights (3rd Shift)
What is the earliest date you can start work?
*
Date Format: MM slash DD slash YYYY
Reference 1
Supervisors Name
*
Your reference MUST be a supervisor, manager, or charge nurse - or they CANNOT be used.
Phone Number
*
Facility Name & Location (City, State)
*
Please include the facility you worked with this reference. This MUST reflect your resume.
Dates you worked with this reference?
*
Example: January 2020 - June 2020 MUST reflect your resume.
Reference 2
Supervisors Name
*
Your reference MUST be a supervisor, manager, or charge nurse - or they CANNOT be used.
Phone Number
*
Facility Name & Location (City, State)
*
Please include the facility you worked with this reference. This MUST reflect your resume.
Dates you worked with this reference?
*
Example: January 2020 - June 2020 MUST reflect your resume.
Resume & BLS
Does your Resume list your FULL address?
*
Yes
No
Example: 123 Street, Nowhereville, TX, 12345
Does your Resume list where you received your education?
*
Yes
No
Your Resume MUST list the institution's full name and location (city, state), and the month/year of graduation.
Does your Resume have gaps in your employment?
*
Yes
No
Your Resume MUST have NO gaps in employment to be considered for a position.
Does your Resume list the facility names, city and state, as well as the dates you worked there?
*
Yes
No
Your Resume MUST have the full facility name, city and state it is located in, and the dates you worked there. (Example:Fellowship Health and Rehab, - Dallas, TX / June 2020 - July 2020)
Upload your Resume
*
Accepted file types: jpg, png, gif, pdf.
Upload a copy of your BLS Card
*
Accepted file types: jpg, png, gif, pdf.
Are you currently working with a recruiter
*
Yes
No
Recruiters Name
*
Message
How did you hear about 24 Hour Nurse Staffing?
*
24 Hour Nurse Website
Indeed
Facebook
Google Search
Received Text Ad
Received Email Ad
Recruiter
Referred from a friend/co-worker
Would you like to sign up for our mailing list and receive the latest job updates to your email and phone?
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