GENERAL INFORMATION

First Name *

Last Name *

Email *

Mobile Phone *

Date of Birth * +

Citizenship *

Country of Birth *

Current Country of Residence *

EDUCATION & WORK EXPERIENCE

Are you currently working (or have you been working within the past year) as a registered nurse in a hospital setting? *

Yes

No

How many years of experience do you have as a RN? *

What is your current specialty? *

What is your current profession? *

Have you passed the NCLEX? *

Yes

No

Qualification/Degree *

Have you passed an English Exam in the last 18 months? (IELTS, PTE, OPT, TOEFL) *

Do you have a previously-filed employment-based Green Card (I-140) petition? *

Yes

No

Has your previously filed Green Card (I-140) petition been approved? *

Yes

No

What is your preferred type of employment? *

What is your preferred US State of employment? (1st choice) *

What is your preferred US State of employment? (2nd choice)

What is your preferred US State of employment? (3rd choice)

Upload Resume (an attached Resume will prioritize review by the recruitment team) *

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