50/50 Florence's List Form Question Title * 1. Name: Question Title * 2. Email: Question Title * 3. What type of work or projects are you interested in? Question Title * 4. Are you a veteran? Yes No Question Title * 5. Desired time commitment: Full-time work Part-time work Short-term projects Full-time volunteer Part-time volunteer Other (please specify) Question Title * 6. Practice/Specialty Question Title * 7. RN License Number: Question Title * 8. Highest level of education: ADN BSN MSN DNP PhD Other (please specify) Question Title * 9. Universities/colleges attended: Question Title * 10. Do you belong to any professional nursing organizations? If so, please specify. Question Title * 11. List of past professional roles, including job title and name of the organization: Question Title * 12. List your unique skills (bilingual, bicultural, math skills, prior teaching, nursing practice, etc.): Question Title * 13. Comments: Done