Candidate Interest Form - Cottage RN, Children's Services

Thank you for your interest in our Central Coast, California Children's Services RN opportunities! Please complete the form below and we will contact you shortly with additional information:

First Name*	Last Name*


Email Address*

What is the best way to reach you?*

Text Message

Phone Call

Phone Number (for texting only - we won't call unless you ask us to!)*

Which unit are you interested in?*

Primary RN Specialty*

Years of experience:*

Do you desire FULL TIME, PART TIME, or PRN Work?*

In which state(s) are you currently licensed?*

OPTIONAL: Attach Resume