PRCS HEALTHCARE JOB APPLICATION
Thank you for your interest in applying to PRCS Healthcare! We offer travel nurse jobs and per diem nurse jobs, as well as travel and per diem allied healthcare jobs. The online application consists of 4 easy steps and will take you about 10 minutes to complete. If you have any questions or need travel nursing information, please contact us by calling 602-508-0100.

Step 1. Enter Personal Profile
Personal Information
 
 
 
*Last: *First: Middle:
 
Login Detail
 
*LoginID
*Password: (6 char. min) *Re-Enter Password:
 
Permanent Address
 
*Street: *City:
*State: *Zip:  
 
Present Address
 
    Same as permanent address
*Street: *City:
*State: *Zip:  
* Home Phone :   *Cell Phone :  
Other:  
* Email: *SSN:  
* Date of Birth:  
Drivers License:   State:   Expiration:
What is the best time to reach you?:   AM   PM
 
Emergency Contact Information
 
First name Last Name:
Phone  
Are you a United States Citizen: Yes No
 
If working under a Visa:
 
Visa Type     Not Applicable
Expiration Date

For disciplinary reasons, have any of the following ever been, or are they in the process of being either on a voluntary or involuntary basis − conditional, denied, revoked, suspended, reduced, limited, placed on probation, not renewed, withdrawn, or relinquished while under investigation or after being notified that investigation would be conducted?
Have you ever been charged and/or convicted of a misdemeanor and/or felony? Yes No
If Yes, please provide a written explanation :
 
Release of Information
 
*I have read and agree to the terms of the Application Legal Disclaimer.