Registered Nurse Job Application First Name *Last Name *Email *Phone Number Are you currently working as an RN YesNoWhat type of work are you looking for? Full TimePer DiemShort Term ContractOtherWhere would you like to work? American FallsBoiseCaldwellEmmettIdaho FallsNampaPayetteSun ValleyWeiserOtherDo you have experience in any of these areas? ERLong TermMed SurgOROtherWhat shifts can you work? DayEveningNightOtherAre there any shifts/days that you can't work? What is your expected pay rate? How did you hear about Hometown Medical Staffing? Is there anything else that you would like us to know about you? MessageSubmit