RRT Interview Questionnaire

First Name

Last Name

Email Address

Phone Number

Date Of Birth

What State are you applying for?

What City are you applying for?

Do you have experience in Critical care/ICU?

Yes

No

How many years of experience do have working in critical care/ICU?

None

1 Year

2 Years

More than 2 years

How many years of RRT/CRT experience do you have in the United States?

Less than 1 year

Less than 2 years

2-5 years

5+ years

Do you have a current valid State license as an RRT/CRT for the state you are applying for?

Yes

No

Do you have valid BLS and ACLS certification through AHA, ARC or AMRI?

BLS only

ACLS only

I have both and they are current and up to date

What kind of contract are you looking for?

13 week Full Time Contract

I am only available for PRN at this time

Both Full Time & PRN

Are you interested in Day or Night Position?

Days

Nights

Either

What is your available start date?

Do you have any dates that you cannot work/time off requests?