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Full Name *
Email Address *
Phone Number *
Current Duty Station
Are you a Veteran or a Family Member?*—Please choose an option—VeteranFamily Member
Branch of Service *—Please choose an option—ArmyNavyAirForceMarinesCoast GuardOther
Rank at Discharge *
Years of Service *
Military Job History *
Job Preferences
Desired Job Location *—Please choose an option—RemoteAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Preferred Job Type *—Please choose an option—Full-TimePart-TimeContractInternship
Areas of Interest *HealthcareAdministrationTechnical
Availability Start Date *
Willingness to Relocate? *YesNo
Qualifications & Skills
Do you have Medical or Caregiving Experience?YesNo
List Relevant Certifications
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Auto-Generated Resume: (If No Resume to Upload, System Generates Resume from Provided Entries) love this idea
Additional Information
How did you hear about us?—Please choose an option—ReferralOnlineSearchSocial Media
Anything Else You’d Like Us to Know?
Additional Suggested Questions
Why do you want to pursue a career in the healthcare field?Example prompt: What personal experiences or motivations inspire you to work in this field?
What do you value most in a potential employer?Example prompt: What qualities or workplace environment are most important to you in your next role?
How do you feel this career path can benefit your transition from military to civilian life?
What challenges do you expect in pursuing a healthcare career, and how do you plan to overcome them?
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