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First Name

Last Name

Phone number

License

Choose the license that matches your current professional certification.

State of Licensure

Choose the state where you hold your current professional license.

Primary Specialty

Indicate the main area of healthcare in which you specialize.

Type of Work

Choose all employment types you're interested in (e.g., full-time, part-time, contract). You can select multiple options.

Desired Work Settings

Choose all the settings where you'd like to work (e.g., hospital, clinic, home health).

Desired Work Schedule

Indicate the shifts and days you're available to work.

Resume

Select a file to upload or simply drag & drop it here!
Allows *.pdf, *.doc, *.docx, *.odt or *.txt file. Up to 3 MB.

Additional Certifications

Include any other relevant certifications, such as BLS, ACLS, or specialty-specific credentials.

Additional Information

Use this space to provide any other information that may support your application.

Password

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