Fresenius Medical Care - Shiftboard online scheduling system

If you have not yet registered for access to our online scheduling system, please complete the following form.

* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
Dialysis Experience
* Do you have 6 months of dialysis experience? (NOTE: You will need at least 6 months of prior applicable experience to be eligible for our program)
 Yes  No
* Are you in good standing and 6 months free of written warnings or higher? (Note: You must currently be in good standing to be eligible for our program)
 Yes  No

Preferences
Preferred Shifts
Opening
Days
Evenings
Closing
Weekend - Opening
Weekend - Days
Weekend - Evenings
Weekend - Closing
Anytime
Shift/Work Length Preference
8hr
10hr
12hr
Any
Commute/Driving
Primary Clinic
How far are you willing to drive? (miles)
Approximately how many miles is it to your primary clinc from home? (Miles)
Preferred Location Notes - Areas where you would like to work
What is your SAP Vendor# for milage reimbursement?
Degree/Certification
* Highest Nursing Degree Earned

Specialties
Do you specialize in a certain area of nursing or in the medical field?
 Yes  No
List years of experience, special credentials, or certifications you have
Primary/Current Licence
Professional License ID
Professional License Expiration
Professional License State

Secondary/Current License
Professional License ID
Professional License Expiration
Professional License State



Thank you for your interest!
 
 
Downers Grove, Illinois 60515
630-960-6701
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