Instructor Interested

I have read the RN qualification requirements*

Yes
Employment Interest Form

Please complete the form below to receive more information about career opportunities with us.
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number
Have you had 2 years experience in a Long Term Care setting?

YesNo
How many years experience have you had in a LTC setting as a licensed nurse. (LPN, RN, or combination of both?
How many years have you been an RN?
Do you have a facility in which you prefer to teach clinicals? If so, please indicate the town and facility.
If you do not have a facility in mind, please let us know what town(s) or county you are interested in teaching.
Do you have a CNA Instructor number in KS?*

YesNo
Do you have a CMA Instructor number in KS?*

YesNo
*An instructor number is not required when inquiring about a teaching position.
Tell us a little about yourself
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Employment Interest Form