New Grad RN Interview Questionnaire

New Grad RN Interview Questionnaire

At this time we are only scheduling interviews for candidates that have either passed their NCLEX or have a scheduled NCLEX date.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Current Location *

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Cell Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Questions and Details:
Nursing School Graduation/Expected Graduation Date*

MonthDayYear
NCLEX Status*
If NCLEX is scheduled, enter your NCLEX exam date
RN Licensed State
Skip if not Licensed
OPT Approved Start Date

MonthDayYear
Skip if no approved OPT Date
OPT Expected Start Date

MonthDayYear
Enter Date you requested or plan to request.
Do you have your EAD Work Permit? *
Do you have a Social Security Card*
CaliforniaMinnesotaAll of the aboveNone of the above
What is your immigration status?*
Is there anything else you would like us to know about you?
Please Upload your current resume

Cancelof
Please verify that you are human*
Should be Empty: