Take the Second Step

Congratulations!

After our initial review, our recruiters believe you may meet the requirements to work as a nurse in America. To continue moving forward with the process, Careera needs to collect more detailed information about you, your nursing education, and your work experience.

If you have any questions about this form, please contact your recruiter.

General Information

First Name

Last Name

Date of Birth

E-mail

CURP Number

Telephone Number

Nationality

Passport Number

Current Address

City

Postal Code

State

Country

Nursing Studies

Where did you attend nursing school?

Did you graduate?

Yes
No

Other Studies or Specialties

Do you hold any other degrees or certifications?

Yes
No

Degree

Would you like to add more degrees or certifications?

Yes
No

Institution

Dates Attended

Degree

Would you like to add more degrees or certifications?

Yes
No

Institution

Dates Attended

Degree

Institution

Dates Attended

Work Experience

Current Job Position

Institution

Date

Past Nursing Experience

Position

Would you like to add more past experience?

Yes
No

Institution

Date

Past Nursing Experience

Position

Would you like to add more past experience?

Yes
No

Institution

Date

Past Nursing Experience

Position

Would you like to add more past experience?

Yes
No

Institution

Date

Past Nursing Experience

Position

Would you like to add more past experience?

Yes
No

Institution

Date

Past Nursing Experience

Position

Institution

Date

Do you want a nursing job in a specific field?

Availability to Move to the U.S.

When would you be available to move to the United States?

Immediately
Date

Economic Dependents

Will any economic dependents move with you to the United States?

Yes
No

Dependent's Name