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First Name:

Last Name:

Pick two Hospital Facilities that you want to work at:

First Choice:	Second Choice:

Please select your Area of Interests. Select your 1st and 2nd preference from the following dropdowns. Use the legend to identify the hospitals:

Legend/Key

Children’s Hospital, (CH)
City Centre, (CC)
Medical Center, (MC)
New Braunfels, (NB)
Westover Hills, (WH)

1st Preference

2nd Preference

E-mail:

Phone:

Contact Preference:

E-mail Phone

Best Time to Contact Me:

How did you learn about us:

Newspaper Ad
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HeavenlyCareers.com
Google/Yahoo/MSN

Please answer the following questions and limit each answer to 125 words or less:

What influenced you to pursue a career in Nursing?

Why are you interested in the CHRISTUS Santa Rosa RN Residency Program?

Why did you choose your preferred unit?

What qualities do you possess that would make you an asset to that unit?

Where do you see yourself in five (5) years?

The mission here at CHRISTUS Santa Rosa Health Care is "to extend the healing ministry of Jesus Christ". As an associate, what would you bring to CHRISTUS Santa Rosa Health System to serve our mission?

IMPORTANT: Recommendations from two (2) clinical faculty members (instructors from your clinical rotations) must be submitted no later than October 31, 2011 to consider your application as complete. Please send this link to the clinical faculty completing the recommendation: http://survey.christushealth.org/ss/wsb.dll/627/VersantFacultyRef.htm . This is the only method recommendations from your clinical faculty will be accepted. Incomplete applications will not be considered.

As a Catholic, faith-based organization,
CHRISTUS Santa Rosa believes in the value and dignity of each individual.
We pledge to evaluate all candidates based solely on their talents, regardless of race, religion or disability.
Pre-placement physical and drug screening required.