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Personal Information
Specialties
Education
Questions

Licenses
Compact License
Credentials and Certifications
Type Expires
ACLS
NRP
PALS
References (Must Be a Superior)

Is it ok to contact current employer:

Previous Work Experience

Please list at least 7 years of detailed work history, if you have worked less than seven years, please list all detailed work history from graduation.








Have you been out of the country in the last 7-10 years?

I certify that the statements made in this application are true to the best of my knowledge. I authorize Strategic Healthcare Staffing to verify the information I have provided and to contact references concerning my ability, character and past employment.





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