MY IDEAL JOB Please take a moment to tell us about yourself: We will send out a Medicor brochure and a free gift to any healthcare professional that completes this on-line survey in its entirety. * indicates a required field. *Name: *Address: *City: *State:*Zip: Telephone: *Certifications: (CPR, BLS, ACLS, TELE, VENT, TNCC, etc.) Years Experience in the following areas: Acute Care Long-term Care Clinic Home Health Care Number of hours desired: I would be interested in a minimum of hrs. to a maximum of hrs. per WeekMonth Desired timeframe to start: Select...ASAP1-3 months3-6 months6 months+ *Professional Qualifications: Select... RN LPN Respiratory Therapist Rad Tech Speech Therapist Other Technologist/Therapist Areas of Experience: (hold down control to select more than one) Med/Surg Med/Surg/Tele ICU CCU NICU OR Scrub Circulate ER PACU L&D Post Partum Nursery Behavioral Health Oncology Lab Other Preferred Location: Any City Southeastern Wisc. Northern Il. Any State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Shift: AM PM Night Comments: My Email Address is: Please contact me as soon as possible: Please keep my name on file and contact me if an opportunity arises that fits my profile. Please note, Medicor will never sell or otherwise distribute your email address or any information about you to any other party.