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    Please fill up this form to indicate your interest to be interviewed by the SEAPCI Talent Acquisition Officers.

    * Indicates required question

    Which employers are you interested in applying to?* (You may check as many as you wish)

    Please note: Some employers are actively hiring, while others are included in the list for manpower pooling only.

    Employers Actively Hiring

    Munson Healthcare (Traverse City, Michigan) — Specialties & Years of Experience: MS, ICU, Oncology (2+ years)

    Rochester Regional Health (Rochester, New York) — Specialties & Years of Experience: MS (2+ years)

    Sheppard Pratt Health System (Baltimore, Maryland) — Specialties & Years of Experience: Psychiatric (2+ years)

    Elite365 Healthcare Workforce Solutions (Staffing Agency) — Specialties & Years of Experience: MS (1+ year); OR, ER, ICU, OR & PACU (3+ years), NICU, PICU, Pediatrics & Oncology (5+ years)

    Employers for Manpower Pooling Only

    Henry Ford Health (Detroit, Michigan)

    Mercy Medical Center (Baltimore, Maryland)

    MLS Global LLC (Maryland, USA) – For Medical Technologists Only

    Doctors Express Urgent Care (Grand Cayman, Cayman Islands)

    Full Name ( Last Name, First Name ): *

    First Name: *

    Last Name: *

    Middle Initial: *

    Name Extension (Jr. / II / Others):

    Gender: *

    Country and Country Code (Primary): *

    Phone Number (Primary): *

    Country and Country Code (Secondary):

    Phone Number (Secondary):

    Email: *

    Current Location (City, Country): *

    Birthdate: *

    Civil Status: *

    Educational Attainment: *

    College Education (College School Name): *

    Do you have a valid nursing license or local nursing license for non-Filipinos?: *

    Please attach your valid nursing license (max upload file size: 5mb): *

    If you are not a nurse, are you a licensed Allied Health professional? *

    Please attach your valid professional license (max upload file size: 5mb):

    How did you hear about SEAPCI or this job listing? *

    Nurse Specialty Area (Select all that apply): *

    For Non-Registered Nurses or Allied Healthcare Workers, please specify (leave blank if you selected any of the boxes above):

    Please indicate your total hospital work experience (in years): *


    Direct Hire applicants: At least 2 years for all specialties / Elite365 applicants: MS (1+ year); OR, ER, ICU, OR & PACU (3+ years), NICU, PICU, Pediatrics & Oncology (5+ years)

    Total Bed Capacity of your Current/Most Recent Hospital: *

    Name of latest employer: *

    NCLEX Status: *


    Note: Non-NCLEX passers are welcome to apply for Elite365.

    NCLEX Board of Nursing (BON) State: *

    Last Updated Date of Resume: *

    Resume (max upload file size: 5mb): *

    By applying, I agree to the Privacy Policy & Terms and Conditions, and consent to being contacted by SEAPCI (Southeast Asian Placement Center, Inc.) regarding my application. I also agree that my information may be used, where permitted by law, for updates and marketing purposes.

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