Registered Nurse- Float Pool- Per Diem

Pay and Benefits

• Pay Range: $33.40-$53.44/hour
• Shift: 1st and/or 3rd
• Schedule: 7a-7p & 7p-7a
• Benefits Status: Not Eligible

We offer competitive pay. Our benefits package includes health, dental, and vision insurance, a retirement plan, vacation allowance, tuition reimbursement, and other incentives. EOE

Beloit Health System is hiring for a Per Diem Registered Nurse for our Float Pool at Beloit Memorial Hospital.

In this position the Registered Nurse will provide primary nursing care to patients in medical/surgical, oncology, joint replacement, family care and intermediate (cardiac step down) units. Duties include monitoring telemetry, administering medications and managing continuous IV medications for patients with cardiac and/or medical/surgical conditions.

• Graduate of an accredited program
• Current WI RN license
• BLS certification within 3 months
• Telemetry experience helpful
• ACLS certification required within one year of hire
• Must be flexible to work multiple units

Name *

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State

ZIP Code

Phone *

Email *

Best Time of Day to Reach You By Phone *

Previous Names Used *

Previous Names Used
* Type N/A if none.

Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

Position Applying For *

Position Applying For *

Nurses

Assistants/Aides

Other Allied Health/Technical

Professional

Therapists/Pharmacists

Other

Other Other position applying for that was not listed above.

Salary Desired *

Hours Applying For *

Hours Applying For Required field

• Full Time
• Part Time
• Regular
• Temporary

Date Available

MMMM DD , YYYY

Shift Availability *

Shift Availability Required field

• First Shift
• Second Shift
• Third Shift

Would you consider working *

• Yes
• No
• Any Shift
• Holidays
• Rotating Shifts
• On Call

How were you referred to Beloit Health System?

Have you ever been employed by Beloit Health System?

Yes / No

If yes, please share date range.

Are you 17 years of age or younger?

Yes / No

Please share your long range career goals. *

Are you a US Citizen or are you an alien legally authorized to work in the United States? *

Yes / No

Have you ever been fired? *

Yes / No

If yes, describe in full including dates.

High School Attended *

High School Address *

Course of Study

Years Completed *

Graduation Year *

College Attended

College Address

Course of Study

Years Completed

Graduation Year

Last Diploma or Degree

Typing - Approximate Words Per Minute

Special Courses of Training

Area of Specialization or Major Interest

Other Skills

List health care, business or industrial equipment operated:

Are you currently:

Licensed

Registered

Certified

Are you currently eligible for:

Licensed

Registered

Certified

Type

Type List Certification, license or registration

Date

Date ex. __/__/__

Number

Type (2)

Type (2) List Certification, license or registration

Date (2)

Date (2) ex. __/__/__

Number (2)

Type (3)

Type (3) List Certification, license or registration

Date (3)

Date (3) ex. __/__/__

Number (3)

Current/Previous Job 1 *

Job Title

Job Title Current/Previous Job 1

Supervisor Current/Previous Job 1

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number

Phone Number Current/Previous Job 1

Dates

Dates ex. __/__/__ to __/__/__

Job Duties

Job Duties Current/Previous Job 1

Reason for Leaving

Reason for Leaving Current/Previous Job 1

May we contact this employer?

Yes / No

Previous Employer

Previous Employer Previous Job 1 or 2

Job Title

Job Title Previous Job 1 or 2

Supervisor Previous Job 1 or 2

Address (Previous Job 1 or
2)

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number

Phone Number Previous Job 1 or 2

Dates

Dates ex. __/__/__ to __/__/__

Job Duties

Job Duties Previous Job 1 or 2

Reason for Leaving

Reason for Leaving Previous Job 1 or 2

May we contact this employer?

Yes / No

May we contact this employer? May we contact this employer? Yes No Previous Job 1 or 2

Previous Employer

Previous Employer Previous Job 2 or 3

Job Title

Job Title Previous Job 2 or 3

Supervisor Previous Job 2 or 3

Address (Previous Job 2 or
3)

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number

Phone Number Previous Job 2 or 3

Dates

Dates ex. __/__/__ to __/__/__

Job Duties

Job Duties Previous Job 2 or 3

Reason for Leaving

Reason for Leaving Previous Job 2 or 3

May we contact this employer?

Yes / No

May we contact this employer? May we contact this employer? Yes No Previous Job 2 or 3

Reference 1

Reference 1 Include First & Last Name

Phone Number

Phone Number Reference 1

Relationship

Reference 2

Phone

Phone Reference 2

Relationship

Reference 3

Phone

Phone Reference 3

Relationship

Have you served in the US Armed Services?

Yes / No

What branch?

Why are you particularly suited for this job? *

Resume

No File Chosen

Resume No File Chosen Upload Supporting Document Here

Please read the following very carefully before submitting:

Beloit Health System is an Equal Opportunity Employer and does not unlawfully discriminate in the recruitment or employment of its employees in the basis of race, color, ancestry, national origin, creed, sex, marital status, age, sexual orientation, physical or mental handicap, membership in a reserve…