Careers at Rainbow

Please complete the form below or download form here and send to info@rainbownusring.ca

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

DOB

MM

DD

YYYY

Occupation

RN

RPN

PSW

Years in the field

Registration/License #

Employer (Current/Last):

Education:

Fluent in English?

Yes

No

Other Languages

Are you legally eligible to work in Canada?

Yes

No

Reference Name (1)

Reference Phone (1)

(###)

###

####

Reference Name (2)

Reference Phone (2)

(###)

###

####

Reference Name (3)

Reference Phone (3)

(###)

###

####

Emergency Contact Name

Emergency Contact Phone

(###)

###

####

I hereby certify that all the information listed above is true and I give permission to Rainbow Nursing Registry Ltd. to check my education background and references. I further agree that all assignments will be per call-in basis; Rainbow Nursing Registry Ltd does not guarantee weekly hours for me.

I Agree