Are you currently registered as a nurse in the State of California?
Yes
No
If yes, please list your license number and expiration date:
2.
Education:
Do you possess a Bachelor's degree? (Note: If yes, please make sure it is clearly identified on your employment application under education or resume).
Yes
No
3.
Do you possess at least three years of experience as a journey level registered nurse in an acute care or mental health facility? (Note: One year of the required experience may be substituted with a qualifying Bachelor's Degree)
Yes
No
4.
Please indicate if you possess any of the following certificates (check all that apply):