Your Future Begins Here

SHORT TERM CONTRACTS I LONG TERM CONTRACTS I PERMANENT HIRE

At Recruit Staffers, we offer an extensive network of opportunities for nurses of all types and specialties. Due to our relationships with facilities, we get regular requests for nurses — and we’re looking to build out our network with great nurses to help fill these roles. Recruit Staffers gives you the chance to connect with a facility that is in need of skilled nurses to meet its patient care goals now.

Employee Application

Please complete the following form and a representative from our team will contact you to schedule our initial virtual meeting to review your application details and discuss pertinent information about your next steps with Recruit Staffers.

****Upon completion of this form, you will directed to an additional page where you can upload necessary documents. You will need to upload: Your Resume, Driver’s License Photo (Front & Back), Social Security Card, CPR Certification, Proof of Recent Physical, COVID Vaccination Documents***

You can also Click Here to UPLOAD NECESSARY DOCUMENTS

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Type of Position Desired

Short Term Contract

Long Term Contract

Permanent Hire

Med-Aides

Account Mangers

Recruiters

Number of Years of Experience in Healthcare

Education

High School Name & Location

Please provide name and City & State of the high school you attended

College Name, Location, and Years Attended

Please provide name, City & State of the Graduate School you attended, and What Years You Attended that College (ex: 2010-2014)

Graduate School/ Post-Graduate School Attended, City & State, and Years Attended

Please provide name, City & State of the Graduate School you attended, and What Years You Attended that College (ex: 2010-2014)

List Your Degree(s)

Additional Industry-Related Certifications

Professional License Number

Experience

Name of Your Current or Most Recent Healthcare Company You Worked For

Job Title/ Position at that Company

Supervisor's Name

First Name

Last Name

Number of Years on this Job

Previous Healthcare Company You Worked For

Job Title/ Position

Supervisor's Name

First Name

Last Name

Can We Contact Them about the Quality of your Work?

Reason for Leaving that Job

Number of Years on this Job

References

Reference 1 Name, Cell, and Email

Reference 2 Name, Cell, and Email

Click to Upload Necessary Documents

Employee Application

Hours

Contact