Nursing Recruitment Form
Please fill out all sections of this form and then click the Submit button.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Years of Experience
*
Do You Have New York State Licensure (Select One)
*
Please Select
Yes
No
Employment Type Seeking
*
Full-time
Part-time
Per Diem
Current Job Title
*
Registered Nurse (RN)
Certified Nursing Assistant (CNA)
Nurse Supervisor
Licensed Practical Nurse (LPN)
Director of Nursing
Nurse Manager
Nurse Educator
Departmental Interest
*
Ambulatory
Emergency Room (ER)
Intensive Care Unit (ICU)
Medical-Surgical (Med-Surg)
Perioperative (Periop)
Psychiatric (Psych)
Preferred Shift
*
Day
Night
Evening (available for psych only)
Would You Prefer a Virtual Interview or an In-Person Interview?
*
Virtual Interview (If you choose this option, fill out and submit this form. Next, schedule your virtual interview in the section below this form.)
In-Person Interview (Someone from Saint Joseph's will reach out to you.)
Questions or Comments
Paste your CV/Resume here
*
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