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Name
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First
Last
Email
*
Phone
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Street Name and Postal code
Current City
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Are you currently enrolled in a healthcare program?
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Yes
No
If you are a student, what program are you enrolled in?
What is your program start date?
What is your anticipated graduation date?
What is your area of specialty?
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Nursing
Allied Health
Physician
Please choose your profession below?
Licensed Practical Nurse
Midwife
Nurse Practitioner
Registered Nurse
Registered Psychiatric Nurse
What are your preferred areas of nursing?
Acute Care – Medical
Acute Care – Obstetrics/Gynecology
Acute Care – Orthopedics/Oncology/Burns/Cardiac-PCU
Acute Care – Pediatrics
Acute Care – Rehabilitation
Acute Care – Surgical
Acute Care – Stroke
Cancer Care
Critical Care – ICU/CCU
Emergency Care – Ambulatory Care – Endoscopy/Ophthalmology/Same Day Treatment
Home Care
Interprofessional Practice & Learning – Clinical Nurse Educator/Practice Leader
Long-Term Care
Mental Health & Addictions – ED Crisis response
Mental Health & Addictions – Inpatient Withdrawal Mngt
Mental Health & Addictions – Intensive Day Program
Mental Health & Addictions – Psychiatry
Mental Health & Addictions – Residential and Day Structured Programs
Mental Health & Addictions – Acute Inpatient
Nursing Leadership Opportunities
Operating Room
Orthopedic
Palliative Care
Primary Care – Including Regional Networks/Patient Medical Homes/Chronic Disease Management Programs
Provincial Nursing Float Pool
Public Health Nursing
Renal, Hemodialysis, or Nephrology
Sexual Health, Options & Reproductive Services (SHORS)
Please choose your profession below?
Anesthesia Assistant
Clinical Chemist
Counselling Therapist
Kinesiologist
Medical Laboratory Assistant
Medical Laboratory Technologist
Medical Radiation Technologist
Occupational Therapist
OT/PT Assistant
Pharmacist
Pharmacy Technician
Physiotherapist
Physician Assistant
Psychologist
Resident Care Worker
Respiratory Therapist
Social Service Worker
Social Worker
Sonographer
What is your preferred area of interest?
Acute Care
Home Care
Long Term Care
Primary Care
FOIPP Statement:
Personal information is collected from this form under section 31(c) of the Freedom of Information and Protection of Privacy Act for the purpose of health professional recruitment by the Province of Prince Edward Island, Canada. Questions about the collection or use of this information can be referred to PEI Department of Health and Wellness by e-mail to
healthrecruiter@gov.pe.ca
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