| Facility State: |
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| Duration of position: |
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Employment Status:
W-2 (Employee) or
1099 (Independent Contractor) |
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| Start Date: |
| From |  | | Through | |
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Is this a Definite Job
or a Pending Job?
Pending refers to the Position NOT the Candidate.
Definite Job = Position Fully Funded at the Start Date, No Contingencies
Pending Job = Position NOT Fully Funded or Contingent on something that is NOT related to the candidate. |
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| How often will AA be on FIRST call? |
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| Day off after FIRST call? |
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| How often will AA be on SECOND call? |
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| Indicate how often the AA will be doing each of the types of cases including Never. |
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| New Graduates Acceptable? |
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| Number of licensed beds |
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| Number of surgical cases per year |
Available (double click items below to select)
| | Selected (double click items below to unselect)
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| City Population |
Available (double click items below to select)
| | Selected (double click items below to unselect)
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Federal Government job?
(Any State license will work)
For example:
• Veterans Affairs (VA)
• Military
• Indian Health |
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| Preferred Contact Method |
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EXCLUDE posts by the
following user types: |
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