Better Care Starts with You!

Call us today at (716) 775-9452

Fax: (716) 775-9459

1821 Whitehaven Road,

Grand Island, New York 14072, USA

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Apply Now

To apply, please fill in and submit the form below or download the application form here and email to marty@pinnacletravelstaffing.com.

Contact Info

Education

Is your license currently active?
Has your license ever been under investigation?
Investigated for drugs/clinical competence issues?
Ever been suspended or revoke?
Have you ever been convicted of a felony?

Employment History - 1

Employment History - 2

Employment History - 3

Employment History - 4

Employment History - 5

Certification

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Preferences

Have you ever been a travel nurse?

References

In Case of an emergency, notify:

The statements made in this application are true to the best of my knowledge. I understand that any falsification will be basis for disqualification of employment or termination of services. I authorize Pinnacle Travel Nurses staffing, limited to verify the information I have provided and to contact past employers and references concerning my ability, character, and employment record. I release all persons from liability for furnishing said information.