Phase 1 of 4

User Name:

????? usernames must be unique, begin with a letter, and be 6 - 16 characters long

Email:

????? Email addresses must be unique.
A registration confirmation will be sent

Password:

????? Passwords must be 6 - 16 characters long, letters, or numbers only

Profession:

????? This is your primary profession. Employers will be able to search for you by profession or specialty and location once you are registered.

Specialty:

????? Needed Specialty: Page all the way to the bottom for Tech's and RN's. professions of MD's DO's PA's NP's are at the top

Other Title(opt.):

????? This is another way of describing your needs. ex. If you need an MD with Emergency Room Skills.

Seeking Locums Permanent:

????? You may request a permanent job ONLY OR temporary job (locums) ONLY. Choose either a Locums OR Permanent Job. (If mutually agreed you may convert a locums job to a permanent position later).

Security Question 1+2=?:

????? This is a security check to protect our site and your information from hackers using computers

Name:

????? Actual First and Last name (NOT username).

Address:

????? Address where you will receive checks or mail

City:

????? City where you live or receive mail

State:

????? State where you live or receive mail

Zip:

????? Postal code where you live or receive mail

Phone:

????? Cell or land line ex: 770-955-0900 or (770)955-0900

Board Certification:

????? Board certified or not and professional liability insurance preferences

Recruiter Contact:

????? Full service recruiter contact needed or not

Contact About Jobs How:

????? Employers will contact job seekers using preferred contact method

Preferred facility to work:

????? Classify your facility type

Relocation/Travel:

????? Your travel and Professional Liability Insurance preferences

Auth. to work in U.S.?:

????? Auth. to work in U.S.?

Years of Prac Exp:

????? How many years of practice experience do you have?

UserName:
Email:
Password:
Profession:
Specialty:
Other Title:
Locums/Perm:
Human:
Name:
Address:
City:
State:
Zip:
Phone:
Objectives:
Certification:
Recruiter Contact::
Contact how:
What are your seeking?:
Relocation/Travel:
Auth. to work in U.S.?:
Years Exper:

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