Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

Do you have a valid State Registered Nurse license? Yes No

Do you have a Basic Cardiac Life Support (BCLS) certification? Yes No

Do you an Advanced Cardiac Life Support (ACLS) certification? Yes No

How many years of education have you completed? Registered Nursing degree Two-year Registered Nursing degree Four-year BSN degree Beyond a four-year college degree

Experience:

How many years experience do you have in the position for which you are interested? No experience Less than one year At least 1 to 3 years At least 4 to 6 years At least 7 to 9 years Ten or more years

What type of setting best describes your work experience? Hospital Setting Outpatient Clinic Physician Office Home Health Long-Term Care/Hospice Extended Care Case Management School Setting Other

Which area of care is your primary focus? General Medical/Surgical Operating Room Emergency Room/Recovery/ ICU/Cardiac OB/GYN/Labor and Delivery/Women's Health Pediatrics/NICU Rehabilitation Psychiatric Case Management Other

Do you have experience in developing and implementing orientation programs? Yes No

Do you have experience in developing and implementing educational programs? Yes No

Do you have experience assessing nursing skills and creating development plans? Yes No

Do you have experience working with and educating individuals on a one-on-one basis? Yes No

Do you have experience working with and educating in a small group setting? Yes No

Do you have experience working with and educating in a large group setting? Yes No

Do you have experience maintaining educational information including cost data? Yes No

Do you have experience using a word processing program such as Word or WordPerfect? Yes No

Are you currently certified in CPR? Yes No

Work/Salary:

Would you be interested in temporary assignments or on-call work? Yes No

Are you able to work weekends and holidays? Yes No

Please indicate what base salary you are looking to receive: Up to $45,000 per year Up to $50,000 per year Up to $55,000 per year Up to $60,000 per year Up to $65,000 per year Up to $70,000 per year $70,000 or more per year

General:

Are you interested in working full time or part time? Full time Part time

Are you currently employed? Yes No

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Would you relocate to another state? Yes No

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.