Quick Profile

*	Are you a US licensed Registered Nurse and US Citizen?	Yes       No
*	Do you have at least one full year of experience in a hospital setting as a Registered Nurse within the past 3 years?	Yes        No
*	First Name
*	Last Name
*	Street Address
*	City
*	State
*	Zip Code
*	Day Phone
	Alternate Phone
	Alternate Phone
*	Best time to reach
*	Email Address
*	States of active RN licensure
*	Preferred assignment locations (list any states you are interested in traveling to)
	Are you also interested in full-time permanent employment? If so, tell us a little about your preferred permanent job interests here.
	Do you have a compact license?	Yes  No
*	Date Available
*	List certifications currently held (such as BLS, ACLS, etc.)
*	Have you been providing direct patient care as a Registered Nurse in a hospital during the past year?	Yes  No
*	Describe past 3 years of work experience. Please be specific.
	If you have a resume available, please copy and paste it here.
	If there are any travel companies you don't want your information sent to, or if there are companies you are already signed up with, please list them here:
	Would you like to join www.RNTravelWeb.com's email list?	Yes  No
	How did you hear about us?

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