APP

Name

Email

Phone

Type of Provider:

NP PA

Current Situation:

Student New Grad Experienced and working as a provider

Geographic preference:

Current Schedule:

Monday - Friday no nights no weekends Monday - Friday with weekends Other

Looking for:

Full time Part time

Desired schedule:

Monday - Friday days only Weekends? Evenings?

Specialty working in now

Desired specialty to work in:

Desired hourly rate:

Desired annual salary:

Patients you see now per day:

Patients you are willing to see per day:

Do you have a scribe?

Yes No

Do you chart your own notes?

Yes No

Reason looking:

Availability to start a new job:

Attach CV

Summit Placement Service
Chase Bank Building
1301 S. Bowen Rd Suite 140
Arlington, Texas 76013

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