Brilliant Healthcare Nurse Application

Nurse Application

Please complete and submit this application. Your application will be reviewed and our staff will get back with you within 3 days.

Name(Required)

First Middle Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Country of birth/Nationality(Required)

Country

Date of birth(Required)

Current country of residence(Required)

Country

Name of your facility(Required)

Level of your facility(Required)

Speciality/Area of practice(Required)

Have you ever taken and Passed NCLEX-RN Exam?(Required)

Yes

No

NCSBN ID and State(Required)

Have you taken and passed English Language Proficiency exam? *(Required)

Yes

No

IELTS or TOEFL – give TRF number(Required)

Level of Education

What’s your current hospital’s bed capacity?

Please enter a number from 0 to 9999.

Upload your resume written in English (PDF format)(Required)

Accepted file types: pdf, Max. file size: 512 MB.

How did you hear about us?

Friend's Name (for referral bonus)

First Last

Friend's Email

Friend's Cell Phone

To make sure you are a person and not a robot, what is pictured below?

Phone

This field is for validation purposes and should be left unchanged.

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Brilliant Healthcare, LLC

20333 State Highway 249, Suite 200
Houston, TX 77077

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(281) 733-0187

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recruitment@brilliant-healthcare.com

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Office Hours

Mon-Fri ... 8:00 AM to 4:00 PM CST
Sat-Sun ........................................ Closed

Brilliant Healthcare Nurse Application