Nurse Applicant Questionnaire PhoneRN 2018

Thank you for your interest in our Triage position.  In order to complete our preliminary evaluation, please fill out the form below and attach your resume. This should take less than five minutes to complete.  Once we have the additional information we will review that along with your resume.

How many years of Nursing experience do you have? *

Previous employment and rates of pay will be verified except in states where prohibited by law.

Do you have any telephone triage experience? *
What best describes the amount of hours willing to work in a week? *
What time(s) of week are you willing to work? *
What time(s) of week are you not able to work?