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GENERAL INFORMATION
Upload Resume
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First Name
*
(as per your Passport)
Last Name
*
(as per your Passport)
Date of Birth
*
format: MM-DD-YYYY (ie. 12-25-1975)
Email
*
Mobile Phone
*
Current Country of Residency
*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Granada
Greece
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshal Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
Saipan
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Kitts & Nevis
St. Lucia
St. Vincent & the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates (UAE)
United Kingdom (UK)
United States (US)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
United Arab Emirates
United States
United Kingdom
South Korea
Saint Lucia
The
Korea
South
Grenada
Current Location
Country of Birth:
*
Citizenship
*
EDUCATION & WORK EXPERIENCE
Are you currently working as a Registered Nurse?
*
Yes
No
Are you currently a nursing student in the United States?
*
Yes
No
How many years of experience do you have as an RN?
*
0-1 years of experience
1-2 years of experience
2+ years of experience
Not Applicable
Yes
Have you passed the NCLEX?
*
Yes
No
I am not sure
N/A
Are you currently working as a Medical Technologist / Medical Laboratory Scientist?
*
Yes
No
How many years of experience do you have as a Medical Technologist / Medical Laboratory Scientist?
*
0-1 years of experience
1-2 years of experience
2+ years of experience
Not Applicable
Do you have an ASCP/i Certification?
*
BB (Blood Banking Technologist)
C (Chemistry Technologist)
CG (Cytogenetics Technologist)
CT (Cytologist)
CTgyn (Gynecologic Cytologist)
H (Hematology Technologist)
HTL (Histotechnologist)
M (Microbiology Technologist)
MB (Molecular Biology Technologist)
MLS (Medical Laboratory Scientist)
MLT (Medical Laboratory Technician)
No
Others
Have you passed the English exam (IELTS/TOEFL)?
*
Pass
Fail
Expired
No- Pending
Scheduled
Waiting for results
N/A
TOEFL IBT
Rescore
Pending Re-take
What is your current profession?
*
Not working
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Registered Practical Nurse (RPN)
Certified Nursing Assistant (CNA)
Healthcare Aide (HCA)
Medical Doctor (MD)
Medical Technologist / Medical Laboratory Scientist (MT / MLS)
Medical Laboratory Technician (MLT)
Occupational Therapist (OT)
Physical Therapist (PT)
Other
Medical Technologist (MT / MedTech)
What is your current specialty?
*
Not Applicable
Acute Medical Unit
ACUTE SURGICAL ONCOLOGY
Ambulatory
Blood Bank
Burns and Plastics
Cardiology
Casualty
Cath Lab
Certified Nursing Aide (CNA)
Coronary Care Unit (CCU)
CVICU
Day Surgery
Dialysis
Endoscopy
ER
ER - Pedia
Geriatric
HDU
Healthcare Aide (HCA)
Hematology
Hemodialysis
Home Care
Home Health
ICU
ICU - Cardiac ICU
ICU - CVICU
ICU - MICU
ICU - Neuro ICU
ICU - NICU
ICU - PICU
ICU - SICU
L & D
Long-term Care (LTC)
Med / Surg
Med Surg- Tele
Medical
Medical & Surgical ICU
Medical Technologist - Generalist
Need Experience
Neuro- Rehab
Neurology
New Grad
Nursery
OB - Gyne
Occupational Therapist (OT)
Onco / Hema
Oncology
OPD
OR
OR - CVOR
OR - Ophthalmology
OR-PACU
OR/ Day Surgery
Orthopedic
Other
PACU
Paediatric Cardiac Medical & Surgical ICU
Palliative Care
PCU
Pedia
Pediatric OR
Personal Support Worker (PSW)
Physical Therapist (PT)
Post - Partum
Private Duty Nurse
Psych / Mental Health
Radiology
Rehab
SBCU
School Nurse
Step Down Unit
Surgical
Telemetry
Trauma ICU
Urgent Care
Not Working
Medical Technologist (MT / MedTech)
Do you have a previously-filed employment-based Green Card petition?
*
Yes
No
REFERRAL INFORMATION
How did you hear about Connetics USA?
*
Connetics USA Facebook Page
Connetics USA Website
Email Campaign
Google Search
IELTS Speaking Class
IELTS Support Group
Instagram
Internal Referral
Job Fair
Lefora
LinkedIn
Monster USA
Naukri
NCLEX Review Program - Aspire
NCLEX Review Program - iPass
NCLEX Review Program - NCLEX Education
Online Directory
Other
Podcast
Referral
SG Recruitment
WhatsApp
Youtube
Referred by:
Please write the full name of the person who referred you to Connetics USA.
Equal Opportunity Employer Statement
Information provided is for immigration purposes. Connetics USA is an equal opportunity employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to citizenship status, race, immigration status, national origin, gender, age, religion, disability, sexual orientation, veteran status, or marital status. Connetics USA offers a range of immigrant and non-immigrant visa sponsorship for qualified applicants needing such assistance. Connetics is an industry leader in international nursing recruitment. Our expert team will support you through each step of the application process.
Privacy Policy
Connetics USA respects the privacy of applicants and is committed to complying with the privacy laws in every country in which we recruit and hire applicants, including the General Data Protection Regulation in the European Union. Connetics USA's Applicant and Prospective Employee Privacy Policy is intended to inform applicants about how the personal information Connetics USA processes about each will be handled and protected by Connetics. Learn more at conneticsusa.com/privacy-policy
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