Application for the post of Nurse

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* 1. Full Name:

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* 2. Age:

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* 3. Gender

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* 4. Email Address :

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* 5. Mobile Number :

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* 6. Native place :

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* 7. Native State

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* 8. Current Location : City

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* 9. Current Location : State

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* 10. Language Proficiency

English

Hindi

Telugu

Other (please specify)

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* 11. Educational Qualification:

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* 12. Registered Nurse (RN) with current state licensure

Yes

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* 13. Currently Working?

Yes

If yes, Name of the Organisation, Location, and Designation :

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* 14. Total years of working experience

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* 15. Total years of Experience of working in public health programs or projects

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* 16. Total years of clinical experience in a hospital

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* 17. Total years of experience in palliative care, chronic care, oncology, or geriatrics

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* 18. Do you have experience in community mobilization/community outreach activities

Yes

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* 19. Work experience (name the organizations you worked at in descending order)

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* 20. Rate your proficiency in the following tools

	No Experience	Beginner	Intermediate	Advanced	Expert
Microsoft Excel	Microsoft Excel No Experience	Microsoft Excel Beginner	Microsoft Excel Intermediate	Microsoft Excel Advanced	Microsoft Excel Expert
Microsoft Word	Microsoft Word No Experience	Microsoft Word Beginner	Microsoft Word Intermediate	Microsoft Word Advanced	Microsoft Word Expert
Microsoft Powerpoint	Microsoft Powerpoint No Experience	Microsoft Powerpoint Beginner	Microsoft Powerpoint Intermediate	Microsoft Powerpoint Advanced	Microsoft Powerpoint Expert

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* 21. Are you willing to travel for home visits with the project team in Hyderabad and Medchal Malkajgiri districts of Telangana (About 5 – 6 days a week)

Application for the post of Nurse

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* 1. Full Name:

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* 2. Age:

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* 3. Gender

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* 4. Email Address :

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* 5. Mobile Number :

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* 6. Native place :

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* 7. Native State

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* 8. Current Location : City

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* 9. Current Location : State

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* 10. Language Proficiency

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* 11. Educational Qualification:

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* 12. Registered Nurse (RN) with current state licensure

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* 13. Currently Working?

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* 14. Total years of working experience

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* 15. Total years of Experience of working in public health programs or projects

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* 16. Total years of clinical experience in a hospital

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* 17. Total years of experience in palliative care, chronic care, oncology, or geriatrics

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* 18. Do you have experience in community mobilization/community outreach activities

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* 19. Work experience (name the organizations you worked at in descending order)

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* 20. Rate your proficiency in the following tools

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* 21. Are you willing to travel for home visits with the project team in Hyderabad and Medchal Malkajgiri districts of Telangana (About 5 – 6 days a week)

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* 22. Are you willing to potentially work flexible hours

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* 23. Current Annual Salary

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* 24. Expected Annual Salary

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* 25. Upload your Resume/CV :

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* 26. Covering letter (optional)