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Submit A Job

Complete the form below and a Nurses R Special Hospital Account Manager will contact you within 24 hours to assist you in filling your nurse staffing needs. If you have any questions, call us Toll Free (866) 871-8519

Staffing Request Form

Facility Name * :
Contact Name * :
Title :
Address :
City :
State : 
Country : 
Zip Code :
Phone * : - -
E-mail * :
Fax : - -
Have you ever worked
with Nurses R Special before :
Yes No
Positions/specialities needed :
Number of positions needed :
Shift : 8 hr 10 hr 12 hr
Days Evenings Nights
From date :
To date :
Brief position
description / comments :