Blue Heron HealthPro: Quality Healthcare Staffing

When you join Blue Heron HealthPro, you gain the experience and resources of healthcare placement and immigration experts. Blue Heron HealthPro matches rewarding positions at hospitals and rehab hospitals, long-term care facilities, psychiatric hospitals and other healthcare facilities with qualified healthcare professionals in all specialties.

For immediate consideration, please complete our online application form:

General Information

Title:

Last Name:

First Name:

Middle Initial:

Current address:

City:

State/Province:

Postal code:

Country:

Phone:

Email address:

Permanent address:

City:

State/Province:

Postal code:

Country:

Phone:

Employment Eligibility:

For Other, please specify:

Date of Availability for Hire:

Healthcare Field:

For Other, please specify:

Education:

School/University:

Year of graduation:

Degree/Certificate earned:

Additional courses/education:

Year of graduation:

Degree/Certificate earned:

Experience Please detail your last three employment positions.

I. Healthcare facility name:

City:

State/Province:

Country:

Position:

Supervisor:

Dates of Employment:

II. Healthcare facility name:

City:

State/Province:

Country:

Position:

Supervisor:

Dates of Employment:

III. Healthcare facility name:

City:

State/Province:

Country:

Position:

Supervisor:

Dates of Employment:

Briefly describe your specialized skills, training, and certifications:

Licensure, Certification and Accreditation

Type of License, Certification, or Accreditation:

State/Province/Country conferring the license:

Issue No.:

Expiration Date:

Additional licenses, certifications, and accreditations:

I. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

II. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

III. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

IV. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

V. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

VI. Type of License, Certification, or Accreditation:

Issue No.:

Expiration Date:

English Competency Exams:

Exempt from the English competency exams because I’m a citizen of the United States, Canada (except Quebec), Australia, the United Kingdom, New Zealand, or Ireland

Passed Test of English as a Foreign Language (TOEFL)

Passed Test of Spoken English (TSE)

Passed Test of Written English (TWE)

Passed Michigan English Language Assessment Battery (MELAB)

Exam results are pending

Plan to take an English competency exam

Blue Heron HealthPro is an equal opportunity employer. All qualified applicants will be afforded equal employment opportunities without discrimination and will receive consideration for employment without regard to their race, creed, color, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.

By submitting this form, you agree to authorize Blue Heron HealthPro to contact your employers, schools, government agencies, and/or other persons to provide references and verify the information provided herein.

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