| CRNA's Name (Preferred Name in parenthesis if desired) |
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| Contact Name |
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| Contact State |
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| Contact Country |
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| Preferred Contact Method |
| Select states where you want to work |
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| Check any Position Durations you would consider: |
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| Date Available |
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| If Locum Tenens, to what end date can CRNA work? |
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| Does CRNA want a Chief CRNA position? |
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| Does CRNA want a job that leads to partnership? |
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| How often the CRNA wants to do the following: |
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| Does the CRNA want to be Medically Directed by an Anesthesiologist? |
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| What is the CRNA's preference regarding CRNAs in a job situation doing Operative Cases that are not Medically Directed by an Anesthesiologist? |
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| Does the CRNA want a job where there is an Approved Physician Anesthesia residency program? |
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| Does the CRNA want a job where there is Anesthesia training for Physician house staff? |
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| Does the CRNA want a job where there is a CRNA training program? |
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| Does the CRNA want a job where there is an Anesthesiologist's Assistant training program? |
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| What practice setting(s) does the CRNA have experience? |
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| Estimated Minimum Annual Income Desired (W-2 Salary or 1099 Payment) |
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| Employment Status Desired: Employee (IRS form W-2) or Independent Contractor (IRS form 1099). |
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If Locum Tenens, what is the CRNA's minimum daily charge? |
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| Does the CRNA want a Salary income from anesthesia group? |
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| Does the CRNA want a Percentage income from anesthesia group? |
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| Does the CRNA want an Income from Fee-for-service individual practice? |
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| Does the CRNA want a Salary from Hospital as an employee? |
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| Does the CRNA want Other income as a Hospital employee? |
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| How often Does the CRNA want to be on call? |
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| Does the CRNA want to have the Day off after call? |
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| Double Click to select each state where CRNA is licensed |
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| CRNA's Degree |
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| CRNA's Nurse School |
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| CRNA's Anesthesia School |
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| Is CRNA Certified by the NBCRNA? NBCRNA = National Board on Certification and Recertification of Nurse Anesthetists |
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| Check which Life Support cards you currently have: |
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| Current Employer Name |
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| Current Employer Address/City/State/Zip |
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| CRNA's reason for seeking a job change? |
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| Date Posted | 03/29/08 06:47pm |
| Last Updated | 06/30/08 04:51am |
| Posted By | trippmon@yahoo.com (Tripp DeRouen) |
| Reference # | 85226 |
| Priority | General Posting |
| Section | CRNA |
| Form Type | CV |
| User Type | Individual: CRNA |
