Campaign Request Form Join the Hive Campaign Requested By Recruiter First Name Recruiter Last Name Recruiter Email Campaign Data Name of Campaign Job Type Travel Local Contract Per-Diem Any of the Above Campaign Type Local/Regional: West Coast Local/Regional: Central/Eastern National Campaign City Which State is this For? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Guam Northern Mariana Islands Puerto Rico U.S. Minor Outlying Islands U.S. Virgin Islands Clinician Information Desired Profession: RN LPN/LVN CNA/MA Other Allied Health Professional Other Profession: Hold down the Ctrl (Cmd on Mac) key to select multiple options. Specialty: Acute Care Ambulatory Care Anesthesia Tech Assistant Manager Behavioral Health Tech Bone Marrow Transplant Burn ICU Burn MedSurg Burn OR Cardiac Cardiac ICU Cardiac IMU Cardiac Surgery ICU Cardiac Tele Case Management Case Manager Cat Scan Tech Cath Lab Cath Lab Tech CCU CDU Certified Anesthesia Tech Certified Hemo Dialysis Tech Certified Nurse Midwife Certified Respiratory Therapist Certified Surgical Tech Charge Clinic Clinic/Ambulatory Clinical Lab Scientist CNA Corrections COTA CRU CT Tech CV Tech CVICU CVOR CVOR Surg Tech CVPCU Diabetics Dialysis Dialysis Tech Dosimetrist Echo Lab Echo Tech Education EEG Tech EKG Tech Emergency Room Employee Health EMT Endo Endo Tech EP Tech ER Tech First Assist - RN First Assist - Surg Tech Float Pool Geriatrics GI Lab GI Tech Heart Lab Histo Tech Home Health Hospice Hospice and Palliative House Supervisor ICU IMC IMCU Immunization Nurse Infection Prevention Infusion Internal Medicine Interventional Radiology IR IR Tech L&D Lab Tech LPN/LVN LTAC LTC Mammo Tech Med Lab Tech Med Tech Medical Assistant Medical ICU Medication Aid MedSurg MedSurg Neuro MedSurg Ortho MedSurg/Tele Monitor Tech Mother Baby/Post Partum MRI Tech MSICU MSW - Social Work Neuro Neuro ICU Neuro Ortho Neuro Traum ICU Neurology Newborn Nursery NICU Nuclear Med Tech Observation Oncology OR OT Outpatient PACU PCU PCVICU Pediatrics Peds CVOR Peds ER PEDS OR Perinatal Pharm Tech Pharmacist Phlebotomist PICC PICU Post Partum Pre Op Psych Psych Tech PT PTA Pulmonary Rad Tech Radiation Therapist Radiology Recovery Recreational Therapists Rehab Renal RRT Schools Short Stay Unit SICU Sitter SLP SNF Social Worker Sonographer Special Care Unit Special Procedures Tech Sterile Processor Stroke Surgical Tech Technician (Other) Tele Transitional Care Transplant Trauma Trauma ICU Trauma Tele Ultrasound Tech Urgent Care Urology Utilization Review Vascular Tech Women's Health Wound Care X-Ray Tech Pay Information What's the Max Stipend Rate? Pay Per Week Bi-Weekly Month Contract Period What's the Max Hourly Rate? Pay Per Week Bi-Weekly Month Contract Period File Upload Upload CSV File ▼ Show/Hide Table
