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Iron Medical
STAFF APPLICATION
Contact Information
Highest License Level
*
RN - Registered Nurse/BSN Bachelor of Science Nursing
APRN - Advanced Practice Registered Nurse
Specialty - Select all that apply
Med Surg
ER
Oncology
Pediatrics
Geriatrics
Dialysis
Trauma
Psychiatric
Acute Care
Critical Care
Other
Are you a US Veteran?
*
Yes
No
Active Duty
Military Branch
*
Air Force
Army
Coast Guard
Marine Corps
Navy
Space Force
None of the Above
First Responder (Current/Former)
*
EMT (At least 500 Hours Paid / Volunteer)
Firefighter (At least 500 Hours Paid / Volunteer)
Paramedic (At least 500 Hours Paid / Volunteer)
Law Enforcement (At least One Year of Service)
None of the Above
Check here if Spouse/Partner of one of the above
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