Kennedy Application

If you are a registered nurse holding a nursing school diploma, and a valid nursing license, we invite you to apply to KHR! Please complete the form below so that we may know more about your situation. Be sure to provide us with an email and a phone number where we can reach you. We will respond to your query as soon as we receive your application. Thank you, in advance for your interest in Kennedy!

NOTE: If you are a registered nurse currently residing in the US, and would like for us to help you obtain permanent residence without having to leave the country, please fill out the application located here.

Please fill out the information below. Fields in red are required. Some of these fields may not be applicable to you, depending upon your education, experience, and work preferences. Thank you!

BASIC INFORMATION
Last Name  
First Name  
Middle Initial  
Email  
Phone
(Please provide a land line)
 
Cell Phone  
Best time to call  
Street  
City/Town/Village  
State  
Zip  
Country  
Sex  
Birthdate (Month/Day/Year):  
Country of Birth  
Marital Status  
Number of Children  

BEEN TO THE US?
Where in the US d o you have friends or relatives?  
Have you ever been to the US?   Yes No
Have you ever been denied a US Visa?   Yes No


YOUR EDUCATION
Nursing School Attended:  
Nursing School City/State/Country:  
Year Graduated:  
Number of years attended:  
Degree Obtained:  
Number of Years Experience Post Degree:  
List any additional degrees:  
Do you have any certifications, specializations, or supervisory experience? Please describe.  

YOUR EXPERIENCE
Please list your employment history, starting with your most recent.
Employer  
City:  
Country  
Dates   / until /
Position  
Duties Performed  


YOUR CREDENTIALS
Have you taken any of these exams?
CGFNS  
NCLEX  
IELTS  
TOEFL  
TSE  
TWE  
Have you applied for a VisaScreen?   Yes No

YOUR PREFERENCES
Please let us know if you have any specific requirements for where you want to work in the US, and the resons for your preference.
I prefer the following location:  
Reason:  

HOW DID YOU FIND US?
How did you hear about us?  
Additional Details