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Are You at Least 18 Years Old (required)
Yes
No
What Type of Nurse License Do You Hold?
RN
LVN
Position Applying For (required)
Full Time
Part Time
Shift - Day
Shift - Night
Shift - Weekends
Date Available
Are you a US Citizen (required)
Yes
No
Have you been convicted of a crime (excluding misdemeanors and traffic offenses) and/or released from confinement following a conviction for any criminal offense within the past 7 years (required)
Yes
No
Are you presently charged with any violation of the law other than traffic violation (required)
Yes
No