Remote Recruiter Email Are you interested in working from home as an independent contractor-recruiter for Scrubportal? * Yes No Do you want to work as a remote or at-home recruiter full-time or part-time? * Full-time Part-time How many hours per week are you hoping to put in as a healthcare recruiter? * Have you ever worked in the recruiting, staffing, or talent acquisition field? * Yes No Describe your network of healthcare professionals that you may know? * How much annual income from referrals are you hoping to generate as a remote recruiter? * What city do you live? * What state do you live? * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana IAIowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What are your primary reasons why you’re interested in working as a recruiter? * How many nurses can you recruit per month? * First Name * Last Name * Phone Number * Email Address * What is the best day/time to contact you? * Travel Nurse Url Are you a travel nurse looking for a site that will truly show you all the best contract assignments available? * Yes No Have you ever worked as a local agency or travel nurse/healthcare professional? * Yes No Does your employer give you web access to all open assignments across the country that may apply to you? * Yes No What city do you live? * What State do you live? * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What type of work are you looking for? * Local Contract Region Travel National Travel First Name * Last Name * Phone Number * Email Address * What is the best day/time to contact you? * Recruitment Company or Franchise Phone Do you work yourself as a nurse and/or healthcare professional? * Yes No What type of recruitment company are you interested in operating? * Local Per-Diem Nursing Local Contract Nursing Travel Nursing Therapy Recruiter Other What States or Regions are you interested in having your business cover? * ALL Regions East region Central Region West Region Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What City do you live in? * What State do you live in? * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What are your primary reasons why you would like to start your own agency in the healthcare staffing business? * First Name * Last Name * Phone Number * Email Address * When is the best day/time to contact you? Independent Contractor Order Number Are you interested in working as an independent contractor? * Yes No How much annual income are you hoping to make as an independent contractor? * What city do you live? * What state do you live? * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana IAIowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming What are your primary reasons why you’re interested in working as an independent contractor? * First Name * Last Name * Phone Number * Email Address * What is the best day/time to contact you? *
