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Personal Data

MorningAfternoonEvening

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

Full-TimePart-TimePRN/Per DiemNo Preference

YesNo

High SchoolTrade/Vocational/OtherSome UniversityUniversityGraduate School

YesNo

YesNo

YesNo

YesNo

Full-TimePart-TimeOn-Call/PRNDescription of Duties

HourWeekYear

YesNo

Mr.Ms.Mrs.MissDr.

Mr.Ms.Mrs.MissDr.

Mr.Ms.Mrs.MissDr.