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PUERTORICONURSES.COM QUICK EMPLOYMENT APPLICATION
Applicant ID

Request No
Position Title
Status Code

                            01
                        
                            02
                        
                            03
                        
                            04
                        
                            06
                        
First Name
Last Name
Celullar
Phone Number
Email
Bilingual
City of Residence Now?
USA Location Prefer To Work?
Nursing Degree

                            ADN
                        
                            BSN
                        
                            LPN
                        
                            MSN/FNP
                        
                            DOCTOR
                        
Years of Nursing Experience
NCLEX

                            No
                        
                            Yes
                        
Florida Endorsement

                            No
                        
                            Yes
                        
Profession Seeking
Facility Interested

                            Hospital
                        
                            Nursing Home
                        
                            Home Care
                        
                            Doctor Office
                        
                            Telehealth
                        
                            Travel Nurse
                        
                            Rapid Response
                        
Résume

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