Sexual Assault Nurse Examiner (SANE)
Albuquerque SANE Collaborative: Contract PRN Must have minimum 2 years of RN experience at time of application
Nurse Applicant Name
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First Name
Last Name
Pronouns
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E-mail
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example@example.com
Phone Number
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Years of RN Experience
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Currently Working as a RN or APRN?
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What does your current work schedule look like? Full-time, part-time, PRN, multiple jobs?
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What degrees do you hold?
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What university/college(s) were your degree(s) obtained from?
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What name is your nursing license under?
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What is your nursing license number?
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Professional Reference (Supervisor, Manager, Director) Name & Phone Number
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Professional Reference (Supervisor, Manager, Director) Name & Phone Number
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Why do you want to be a SANE?
Please do not exceed 200 words.
Upload Resume
*
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