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Position application
First name
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Last name
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Email
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Phone
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Have you worked with Vital Life Nursing either currently or in the recent past?
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Your availability
Monday 07.00-14.00
Monday 14.00-21.00
Monday overnight
Tuesday 07.00-14.00
Tuesday 14.00-21.00
Tuesday overnight
Wednesday 07.00-14.00
Wednesday 14.00-21.00
Wednesday overnight
Thursday 07.00-14.00
Thursday 14.00-21.00
Thursday overnight
Friday 07.00-14.00
Friday 14.00-21.00
Friday overnight
Saturday 07.00-14.00
Saturday 14.00-21.00
Saturday overnight
Sunday 07.00-14.00
Sunday 14.00-21.00
Sunday overnight
Availability (continued)
Which position are you applying for? (put #)
What is your desired hourly rate?
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Is there anything you'd like to share about yourself?
Available start date
I confirm that I have disclosed the information to the best of my knowledge at this time.
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