Thank You For Your Participation!

Your Company's Name: 

Your Company's Website Address: 

Your Name: 

Your Position: 

Your Email: 

The following questions pertain to if your company OFFERS the benefit....

1. Does your company have FREE medical, dental, and vision insurance for the employee with moderate fee insurance for family?  Yes      No
2. Does your company offer insurance to those nurses with domestic partners?  Yes      No
3. Does your company offer first day medical insurance coverage?  Yes      No
4. Does your company provide professional insurance?  Yes      No
5. Does your company fully reimburse the nurse for licensing?  Yes      No
6. Does your company provide FREE private one-bedroom housing for the nurse?  Yes      No
7. Does your company give nurses a choice in the furniture package (ex. can trade a side table for a desk)?  Yes      No

8. Does your company pay for electric and gas and with an OPTION for cable, phone, and internet without a a dollar limit?  ( will affect the nurses hourly rate)   Yes      No

9. Does your company offer the OPTION of corporate housing?  Yes      No
10. Does your company offer salaries over $30 on SOME assignments?   Yes      No
11. Do you give full reimbursement for required CEUs, such as ACLS, BLS, PALS, NRP?   Yes      No
12. Does your company provide 401K with some company match?  Yes      No
13. Do you give completion bonus on SOME assignments?    Yes  No
14. Do you have WEEKLY direct deposit?  Yes      No
15. Are you JCAHO Certified?  Yes      No

16. Missed days are either made up or up to three days are excused.  (ie - Your company does NOT charge the nurse for "assignment expenses" for up to three days missed)? Yes      No

17. Does your company offer one month off between assignments without loss of benefits? Yes      No
18. Does your company pay for the pre-employment physical and drug screen? Yes      No
19. Does your company pay the standard mileage or free airfare to the assignment? Yes      No
20. Does your company guarantee payment on time, and have a backup plan if something does go wrong with a nurses' paycheck? Yes      No
21. Does your company offer a rental car package OR stipend?    Yes      No

To prove that you are human...  what do we commonly know Deoxyribo Nucleic Acid as ?