Submit a General Application
First Name *
Last Name *
Email *
Phone
City
State
Country of Birth: *
Married or Single: *
Male or Female
No. of Children or None: *
USA Visa: (Asylum, B1, TPS, F1), H1-4), etc.
CGFNS Certifications i.e. CES, Visa Screen, IELTS
Work Permit (OPT, EAD) and Exp . Date
NCLEX: passed, applied for, what state ?
Best Days/Call Time for Interview (CST)
Education: USA BSN, ADN or other country degree
Company / Website or Person who Referred You
List US State / City Work Preferences: *
Any immigration issues you may wish to discuss
Est. Date Available for Work: *
RN Licensure or NCLEX Attachment
EAD or OPT Attachment
