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Company Benefit Questionnaire

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Why fill out this form?

Are you a travel nursing company who provides quality placement for travel nurses?  There are so many travel nursing companies out there...  the choices are virtually unlimited!  Here is your chance to answer the question that travel nurses want to know!  This form is used to place you into a spot on "The Ultimate List Of Travel Companies" webpage.

 

 

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 offer free utilities, including basic cable and basic phone?  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?   Yes      No
  12. Does your company provide 401K with company vest of at least 50% for the nurses 5%?  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. Does your company offer a minimum of three sick days per 13-week assignments without financial penalty? Yes      No
  17. Does your company offer one month off between assignments without penalty? 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

 

 

 

THANKS FOR YOUR SUBMISSION!

Epstein LaRue

775 Yellowstone Ave., PMB 175

Pocatello, ID  83201

 

 

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This Website Was Last Updated:  04/17/2008 11:10

Copyright © 2004, 2005, 2006, 2007, 2008 by [Highway Hypodermics]. All rights reserved.   Republication or redistribution of this website or any publications from this website is absolutely prohibited without the prior written consent of Epstein LaRue