Do you have and maintain a valid license to practice as a registered nurse in Missouri? 2. If you are required to have additional licenses, what are they? (If applicable) Please provide the first six (6) professional licenses you hold that require supervision (or supervision equivalent). Please also provide the last license you had. If you have currently not been licensed yet, please provide the last license you had (if applicable). 3. If applicable, where did you obtain your current licensure? 4. Are you currently licensed (if applicable)? 5. Have you had any disciplinary action taken against you? 6. How long have you been employed at this school? If applicable, give the name and addresses of all employers (if applicable). 7. Was your education interrupted for any reason, or have you completed an equivalent training program? 8. Do you have any medical/health condition that requires immediate supervision? 9. Where are you living while attending University of Missouri? 10. If you intend to transfer to another nursing position at the University of Missouri, how do you plan to pay for that? For example, do you pay for a tuition/fees through a scholarship or are you able to cover your own tuition fees/out-of-pocket expenses? 11. Are you able to work overtime? If yes, how long would you be able to work? 12. Please list any other nursing-related degrees that you have. 13. Are you married or engaged? 14. Have you had employment in the last 12 months? 15. To be eligible for this position, you must meet the following requirements: 1. You must be 21 years old on or before November 1, 2018. 2. You must have been a resident of Illinois for at least 3 years immediately preceding the application date for certification. 3. Furthermore, you must be a United States Citizen or have permanent lawful permanent status in the United States. 4. Furthermore, you must have obtained a bachelor's or higher degree by the time of the graduation. 5. Furthermore, you must have passed the CNA/CCNA (Nursing Certified Professional Nurse I credential) examination as well as the nursing licensure examinations in the state in which you plan to reside. 6. Furthermore, you must submit your application and information by October 30, 2018. Please submit all application materials in one PDF file by e-mail to: Applications will not be accepted before October 30, 2018.
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ST. JOHN S SCHOOL OF NURSE ANESTHESIA AT MISSOURI STATE UNIVERSITY 1235 E. Cherokee Springfield, MO 65804 Phone: 417-820-6890 Fax: 417-820-6895 Please mail this application to the address listed above.
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