Let’s build your healthcare career together! ENDLESS POSSIBILITIES Axis Med Staffing can get you where you want to go — close to home or across the country. Submit your application today. Healthcare Staff Application FormΔFirst NameLast NameMobile PhoneEmailLocationCityStateEligible to work in the U.S.?SelectYesNoPosition Applying For– Select –CNALVN / LPNRN – Med-SurgRN – ERICUOtherWhen can you start?Days Available (Mon–Sun)Assignment Type (Select all that apply) Per Diem Long-Term Contract Travel Assignment Weekends NightsPreferred Shift Day Evening NightState(s) Licensed In California Multi State OtherBLS / CPR Expiration DateLicense #Expiration DateYears of Experience– Select –Less than 1 year1–2 years3–5 years5+ yearsPrimary Specialty Med-Surg ICU ER Telemetry SNF / LTCCertifications Held BLS ACLS PALS NIHSS CPI OtherLast Employer (optional)Please Email Resume to recruiting@axismedstaffing.comOptional NotesCheckbox Field I certify that the information provided is accurate and I consent to background verification if required.Submit Application
