Refer a friend who is not currently in our database and if they complete an assignment with U.S. Nursing, we'll pay you a minimum of $500!* Please call for more details.

Please complete and submit the form below.

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Name:
Street Address:
City:	State: Zip:
Phone Number:	- -
Email:
Professional Level:	RN LPN/LVN CST ORT   Other

Your Information

Name:
Street Address:
City:	State: Zip:
Phone Number:	- -
Email:
Your Recruiter’s Name: Select One NA Alisha T. Bella R. Brigitte J. Jessica B. John C. John J. John K. Juel D. Kai B. Keith A. Leah B. Mayra S. Rick S. Rosa G. Shawn A. Suzanne B. Tiffany T. Valerie V.
If you were referred by a nurse or other source, please specify here: * Referred nurse must meet assignment requirements

Please verify to make sure this information is correct before submitting. Please press the Submit button only once. Thank you.