Employment Application

ALot Like Family Nursing Services - A Nurse Practitioner owned agency dedicated to delivering Nursing care with Professional Experience alot like Family would

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	Employment ��Application

ALot Like Family Nursing
430 Colorado Ave, Suite 401, Santa Monica, CA 90401
Phone (310) 395-2600
Fax (310) 395-8719

Employment Application: Please complete the following form and click Submit. We will contact you as soon as possible regarding your request.

		Full Name *

		Contact Phone

		E-mail Address *

		Street Address

		City		State		Zip Code

What type(s) of employment are you interested in?

In-Home Private Duty	In Hospital Private Duty
Registry

Please indicate your discipline(s)

CNA	LVN	NP
OP	PT	RN

Please indicate your field(s) of specialty

Critical Care	Emergency Room
General Clinical (MedSurg)	Labor & Delivery, Post Partum
NeoNatal (NICU)	Operating Room
PACU	Pediatrics
PICU	Psychiatric

		Other Specialties

Comments/Questions

* Required to submit this form

Payment methods:
VISA - MasterCard - AMEX
Personal Check - Blue Cross Office Hours:
Monday - Friday
9:00 am to 5:30 pm

Service Hours:
24 Hours a Day
Every day of the Year

We do not discriminate in the provision of services and employment due to race, sex, color, national origin, disability or age.

ALot Like Family Nursing

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