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<!DOCTYPE html> <html lang="zxx"> <meta http-equiv="content-type" content="text/html;charset=UTF-8" /> <head> <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]\|\|[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= '../www.googletagmanager.com/gtm5445.html?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-K4663WW');</script> <!-- End Google Tag Manager --> <!-- Sama RECRUITMENT Global site tag (gtag.js) - Google Analytics --> <script async src="https://www.googletagmanager.com/gtag/js?id=G-JWZNRZF2EX"></script> <script> window.dataLayer = window.dataLayer \|\| []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-JWZNRZF2EX'); </script> <!-- Global site tag (gtag.js) - Google Analytics --> <script async src="https://www.googletagmanager.com/gtag/js?id=UA-209042780-1"> </script> <script> window.dataLayer = window.dataLayer \|\| []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'UA-209042780-1'); </script> <!-- Global site tag (gtag.js) - Google Ads: 10782715091 --> <script async src="https://www.googletagmanager.com/gtag/js?id=AW-10782715091"></script> <script> window.dataLayer = window.dataLayer \|\| []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'AW-10782715091'); </script> <link type="image/gif" href="images/logo.html" rel="icon"> <title>Sama Recruitment Agency \| Manpower and Staffing Solutions Agency</title> <!-- Meta tag Keywords --> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta charset="UTF-8" /> <meta name="keywords" content="We are a staffing agency that helps great companies hire dependable employees from overseas." /> <script> addEventListener("load", function () { setTimeout(hideURLbar, 0); }, false); function hideURLbar() { window.scrollTo(0, 1); } </script> <!--// Meta tag Keywords --> <!-- Custom-Files --> <link rel="stylesheet" href="css/bootstrap.css"> <!-- Bootstrap-Core-CSS --> <link rel="stylesheet" href="css/style.css" type="text/css" media="all" /> <!-- Style-CSS --> <link href="css/font-awesome.css" rel="stylesheet"> <!-- Font-Awesome-Icons-CSS --> <!-- //Custom-Files --> <link rel="stylesheet" href="sanisa/assets/css/jquery-ui.html" /> <link rel="stylesheet" href="sanisa/assets/css/bootstrap-fileupload.min.html" /> <!-- Web-Fonts --> <link href="http://fonts.googleapis.com/css?family=Pacifico&subset=cyrillic,latin-ext,vietnamese" rel="stylesheet"> <link href="http://fonts.googleapis.com/css?family=Montserrat:400,400i,700,700i" rel="stylesheet"> <link href="http://fonts.googleapis.com/css?family=Open+Sans:300,300i,400,400i,600,600i,700,700i,800,800i" rel="stylesheet"> <link rel="stylesheet" href="css/floating-wpp.css"> <!-- //Web-Fonts --> </head><body style="font-family:Montserrat ! important"> <!-- header --> <div class="header-w3l"> <!-- navigation --> <div class="nav-agile"> <nav class="navbar navbar-default"> <div class="navbar-header logo-w3layouts"> <button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#bs-example-navbar-collapse-1"> <span class="sr-only">Toggle navigation</span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </button> <!-- logo --> <h1> <a href="index-2.html"> <!--<img src="images/logo.png" alt="" width="80px" height="60px" /> Sama TRAVEL AGENCY 1</a>--> <img src="images/sanisa-recruitment-logo.png" alt="" width="120px" height="110px" style="margin-top:10px ! important;margin-right:115px ! important" /> </a> </h1> <!-- //logo --> </div> <!-- navbar-header --> <div class="collapse navbar-collapse" id="bs-example-navbar-collapse-1"> <div class="w3l-navtop" style="text-transform: uppercase ! important;"> <ul class="nav navbar-nav navbar-right" style="font-weight:100 ! important"> <li> <a href="about.html" class="active"><b>About Us</b></a> </li> <li class="dropdown"> <a href="#" class="dropdown-toggle" data-toggle="dropdown"><b>Employers</b> <b class="caret"></b> </a> <ul class="dropdown-menu agile_short_dropdown"> <li> <a href="sanisa-recruitment-process.html"><b>Our Process</b></a> </li> <li> <a href="sanisa-recruitment-approach.html"><b>Our Approach</b></a> </li> <li> <a href="sanisa-recruitment-staffing.html"><b>Staffing </b></a> </li> <li> <a href="employer-services.html"><b>Employer Services</b></a> </li> </ul> </li> <li class="dropdown"> <a href="#" class="dropdown-toggle" data-toggle="dropdown"><b>Industries</b> <b class="caret"></b> </a> <ul class="dropdown-menu agile_short_dropdown"> <li class="dropdown"> <a href="warehouse-staffing.html"><b>Warehouse</b></a> </li> <li> <a href="hospitality-staffing.html"><b>Hospitality</b></a> </li> <li> <a href="construction-staffing.html"><b>Construction</b></a> </li> <li> <a href="manufacturing-staffing.html"><b>Manufacturing </b></a> </li> <li> <a href="IT-staffing.html"><b>IT Staffing</b></a> </li> <li> <a href="health-care-staffing.html"><b>Health Care Staffing</b></a> </li> </ul> </li> <li class="dropdown"> <a href="#" class="dropdown-toggle" data-toggle="dropdown"><b>Locations</b> <b class="caret"></b> </a> <ul class="dropdown-menu agile_short_dropdown"> <li> <a href="ghana-staffing-agency.html"><b>USA</b></a> </li> <li> <a href="belgium-staffing-agency.html"><b>Belgium</b></a> </li> </ul> </li> <li class="dropdown"> <a href="#" class="dropdown-toggle" data-toggle="dropdown"><b>Jobs</b> <b class="caret"></b> </a> <ul class="dropdown-menu agile_short_dropdown"> <li> <a href="usa-jobs.html"><b>USA</b></a> </li> </li> <li> <a href="ireland-jobs.html"><b>Ireland</b></a> </li> </li> <li> <a href="uk-jobs.html"><b>UK</b></a> </li> <li> <a href="malta-jobs.html"><b>Malta</b></a> </li> <li> <a href="dubai-jobs.html"><b>Dubai</b></a> </li> <li> <a href="qatar-jobs.html"><b>Qatar</b></a> </ul> </li> <li class="dropdown"> <a href="#" class="dropdown-toggle" data-toggle="dropdown"><b>FAQ</b> <b class="caret"></b> </a> <ul class="dropdown-menu agile_short_dropdown"> <li> <a href="candidates-faq.html"><b>Candidates</b></a> </li> <li> <a href="employers-faq.html"><b>Employers</b></a> </li> </ul> </li> <li> <a href="contact.html"><b>Contact</b></a> </li> </ul> </div> <!-- social icons --> <div class="social-icons" style="margin-top:25px ! important;"> <ul> <li> <a href="#" class="fa fa-facebook icon-border facebook"> </a> </li> <!--<li> <a href="https://twitter.com/AgencySama " class="fa fa-twitter icon-border twitter"> </a> </li>--> <li> <a href="#" class="fa fa-linkedin icon-border googleplus"> </a> </li> <li> <a href="#." class="fa fa-whatsapp icon-border rss"> </a> </li> </ul> </div> <!-- //social icons --> <div class="clearfix"> </div> </div> </nav> <div class="clearfix"> </div> </div> </div> <!-- //navigation --> <!-- //header --> <!-- banner --> <div class="container_with_text1"> <!--<img src="images/maabanner.jpg" alt="Snow" style="width:100%;">--> <div class="centered" style="font-weight:600;font-size:27px">USA NURSING APPLICATION</div> <!--<img src="images/maabanner.jpg" alt="Beauty">--> </div> <!--//banner --> <!-- short --> <div class="services-breadcrumb"> <div class="inner_breadcrumb"> <ul class="short_ls"> <li> <b>You are here: </b> <a href="#"><b>Job Application</b></a> <span> → </span> </li> <li><b>USA Nursing Job Application</b></li> </ul> </div> </div> <!-- //short--> <!-- //banner --> <!-- about --> <!-- welcome --> <div class="welcome" id="about"> <div class="container"> <div class="row"> <p style="color:#2e3032;"> <div class="col-xs-12 exce-grid1-mmstyle"> <!-- BIG DIV----></----> <!-- END OF LEFT 6 COLUMNS----> <div> <!-- GROUPING----> <div class="row"> <!-- RIGHT 6 COLUMNS----> <br/> <fieldset> <Legend style="color:#5F6368;font-size:15px; font-weight: bolder;">GENERAL INFORMATION</legend> <div class="col-xs-6 exce-grid1-mmstyle"><!-- FIRST 3 COLUMNS----> <!--<form name="job-application-form" method="post" action="process_avant_application_form.php" onsubmit="return validateForm()" enctype="multipart/form-data">--> <form action="contact-send-new.php" method="POST" enctype="multipart/form-data"> <!-- THIS FIELDS WITH TYPE HIDDEN ARE NOT SHOWN TO THE USER--> <input type="hidden" name="_subject" value="USA NURSING JOB APPLICATION REQUEST BELOW"> <input type="hidden" name="_next" value="avant_application_recieved.html"> <input type="hidden" name="_captcha" value="false"> <input type="text" name="_honey" style="display:none"> <input type="hidden" name="_autoresponse" value="We have received you application. We shall review and revert"> <input type="hidden" name="_template" value="table"> <!-- THIS FIELDS WITH TYPE HIDDEN ARE NOT SHOWN TO THE USER--> <label for="full_name">First Name:</label><br> <span style="display: none; color: red;" id="first_name_err"> Full name is required</span> <input type="text" id="first_name" name="First Name" required="true" class="pure" ><br> <label for="fname">Last Name:</label><br> <input type="text" id="fname" name="Last Name" required="" class="pure"><br> <label for="lname">Email:</label><br> <span style="display: none; color: red;" id="email_err"> Email is required</span> <input type="text" id="lname" name="Email" required="true" class="pure"><br> </div> <!-- END OF LEFT 3 COLUMNS----> <div class="col-xs-6 exce-grid1-mmstyle"> <!-- RIGHT 3 COLUMNS----> <label for="lname">Country Of Birth :</label><br> <input type="text" id="lname" name="Country Of Birth" class="pure"><br> <label for="lname">Phone Number:</label><br> <span style="display: none; color: red;" id="telephone_err"> Telephone name is required</span> <input type="text" id="lname" name="Phone Number" required="" class="pure"><br> <label for="lname">Date Of Birth:</label><br> <input type="date" id="birthday" name="Date Of Birth" class="pure"><br/> </fieldset> <br/> <fieldset> <Legend style="color:#5F6368;font-size:15px; font-weight: bolder;">EDUCATION</legend> <div class="col-xs-6 exce-grid1-mmstyle"><!-- FIRST 3 COLUMNS----> <label for="lname">What initial educational program did you complete for your profession?:</label><br> <select name="What initial educational program did you complete for your profession?" id="educational_program" class="pure"> <option value="" >Select option</option> <option value="Degree" >Degree</option> <option value="Diploma" >Diploma</option> </select><br/> <label for="lname">College/University Name:</label><br> <span style="display: none; color: red;" id="email_err"> College/University Name</span> <input type="text" id="lname" name="College/University Name" required="" class="pure"><br> </div> <!-- END OF LEFT 3 COLUMNS----> <div class="col-xs-6 exce-grid1-mmstyle"> <!-- RIGHT 3 COLUMNS----> <label for="fname">Country of Education:</label><br> <input type="text" id="fname" name="Country of Education" required="" class="pure"><br> <label for="lname"> Date of Graduation:</label><br> <input type="date" id="birthday" name="Date of Graduation" class="pure"><br/> </fieldset> <fieldset> <Legend style="color:#5F6368;font-size:15px; font-weight: bolder;">WORK EXPERIENCE</legend> <div class="col-xs-6 exce-grid1-mmstyle"><!-- FIRST 3 COLUMNS----> <label for="lname">Are you currently working?:</label><br> <select name="Are you currently working?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select> <br><br/> <label for="lname">In what type of clinical setting do you work?:</label><br> <select name="In what type of clinical setting do you work?" id="gender" class="pure" required="true"> <option value="" >Select option</option> <option value="Medical/Surgical" >Medical/Surgical</option> <option value="ER" >ER</option> <option value="ICU" >ICU</option> <option value="HDU" >HDU</option> <option value="CCU" >CCU</option> <option value="Inpatient Oncology" >Inpatient Oncology</option> <option value="Inpatient Oncology" >Inpatient Oncology</option> <option value="Theatre/Operation" >Theatre/Operation</option> </select><br/> <label for="fname">How many beds in total are in the facility you are working in? (Hospital, Clinic, Outpatient):</label><br> <input type="text" id="fname" name="How many beds in total are in the facility you are working in? (Hospital, Clinic, Outpatient)" required="true" class="pure"><br> <label for="lname"> What is your profession?:</label><br> <select name="What is your profession?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Registered nurse" >Registered nurse</option> <option value="Physical Therapist" >Physical Therapist</option> <option value="Occupational Therapist " >Occupational Therapist </option> </select><br/> <label for="lname">Have you completed any additional postgraduate qualifications?:</label><br> <select name="Have you completed any additional postgraduate qualifications?" id="gender" class="pure"> <option value="" >Select option</option> <option value="N/A" >N/A</option> <option value="BSN" >BSN</option> <option value="MSN/MAN" >MSN/MAN</option> <option value="Registered Midwife" >Registered Midwife</option> <option value="OR" >OR</option> <option value="ICU" >ICU</option> <option value="CCU" >CCU</option> <option value="Renal/Urology" >Renal/Urology</option> <option value="Psychiatry" >Psychiatry</option> <option value="Anesthesia" >Anesthesia</option> <option value="KRN" >KRN</option> <option value="KRCHN" >KRCHN</option> </select> <br/> </select><br/> <label for="lname">Have you taken an English Proficiency exam (IELTS, OET, TOEFL, PTE, MET, etc.)?* :</label><br> <select name="Have you taken an English Proficiency exam (IELTS, OET, TOEFL, PTE, MET, etc.)?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/> <label for="lname">Do you have a previously-filed employment-based green card petition?* :</label><br> <select name="Do you have a previously-filed employment-based green card petition?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/> <label for="lname">Have you ever applied to any health care agency in the USA before? :</label><br> <select name="Have you ever applied to any health care agency in the USA before?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/> </div> <!-- END OF LEFT 3 COLUMNS----> <div class="col-xs-6 exce-grid1-mmstyle"> <!-- RIGHT 3 COLUMNS----> <label for="fname">How many years total have you been working in your profession?:</label><br> <input type="text" id="fname" name="How many years total have you been working in your profession?" required="true" class="pure"><br><br/> <label for="fname">What is the name of the hospital you are working in? :</label><br> <input type="text" id="fname" name="What is the name of the hospital you are working in?" required="" class="pure"><br> <label for="lname">What specialty/unit/ward are you currently working in?: :</label><br> <select name="What specialty/unit/ward are you currently working in?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Medical/Surgical Ward" >Medical/Surgical Ward</option> <option value="ICU" >ICU</option> </select><br/> <label for="lname"> Have you taken and passed the CGFNS certification program?:</label><br> <select name="Have you taken and passed the CGFNS certification program?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/><br/> <label for="lname">Have you taken the NCLEX exam?Have you taken the US National Council Licensure Examination (NCLEX)? :</label><br> <select name="Have you taken the NCLEX exam?Have you taken the US National Council Licensure Examination (NCLEX)?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/><br/> <label for="lname">Do you have a valid VisaScreen Certificate?* :</label><br> <select name="Do you have a valid VisaScreen Certificate?" id="gender" class="pure"> <option value="" >Select option</option> <option value="Yes" >Yes</option> <option value="No" >No</option> </select><br/> <label for="fname">What country do you currently live in?:</label><br> <input type="text" id="fname" name="What country do you currently live in?" required="" class="pure"><br> <label for="fname">If Yes,name the Agency you ever applied to:</label><br> <input type="text" id="fname" name="If Yes,name the Agency you ever applied to" required="false" class="pure"><br><br/> </fieldset> <br/> <fieldset> <Legend style="color:#5F6368;font-size:15px; font-weight: bolder;">Additional Information (OPTIONAL)</legend> <textarea placeholder="Please add information you would like to share that may be important with regard to your application" name="Additional Information" style="width:100%;margin-left:20px"></textarea> </fieldset></br/> <label>CV/Resume(pdf and word document only):</label><br> <!--<input type="file" name="fileToUpload" id="fileToUpload" onchange="javascript: ValidatePdfFile('fileToUpload')" class="pure" required="true">--> <input type="file" name="attachment" accept="pdf,doc"> <br> <button type="submit" style="width :15%; border-radius: 4px;border: 1px solid #ccc; background:#FE6A00;color:#fff;padding:10px">Submit</button> </form> <div><!-- END OF RIGHT 6 COLUMNS----> <div> <!--GROUPING----> </div> <!--END BIG DIV----> </div> </div> </div> </div> </p> </div> </div> </div> <!-- //welcome --> <!-- middle section --> <div class="middle-w3l" style="border-bottom:3px solid #FF6B00 !important"> <div class="container"> <div class="row"> </div> <div class="middle-right-w3l"> <h4 style="font-size:30px;color:#ffffff;font-weight:600;margin-top:-60px">Hire Reliable Foreign Workers</h4> <p style="font-size:16px;color:#ffffff">Sama is prepared to provide your company with</p> <p style="font-size:16px,font-family:Montserrat ! important;color:#ffffff;margin-top:-5px">dependable foreign workers. So if you are an Employer</p> <p style="font-size:16px,font-family:Montserrat ! important;color:#ffffff;margin-top:-5px"> and need to Hire Foreign Workers (permanent, temporary</p> <p style="font-size:16px,font-family:Montserrat ! important;color:#ffffff;margin-top:-5px">employee, live-in caregivers) call today at <strong style="font-weight:600">1(352)329-0067</strong> or <br/> submit a request via our contact form and we'll find the <br/> best candidates for the job. </p> <div class="readmore-w3-agileits about-read"> <a href="employer-application-form.html" style="color:#fff; font-size:13px; font-weight: bolder;">I’M READY TO HIRE</a> </div> </div> </div> </div> <!-- //middle section --> </div> <!-- //services --> <!-- footer --> <div class="footer" style="border-top:1px solid #d9d9d9 !important"> <div class="container"> <div class="footer-row w3layouts-agile"> <div class="col-md-4 col-xs-4 footer-grids "> <h2 style="color:#2e3032; font-size:18px; font-weight:600;">WHO IS SAMA RECRUITMENT AGENCY ?</h2> <p style="font-size:15px;font-weight:bolder; ;" class="footer-one-w3ls">We are a staffing agency that helps great companies hire dependable employees from overseas. After years in business, we are more convinced than ever that hiring Foreign Workers is not only a socially responsible decision, but also a profitable decision for your company. In a competitive world, an organization's ability to select the right applicant is a long-term source of competitive advantage. Our service is focused on assisting clients in gaining a competitive advantage through the recruitment of top-tier employees. </div> <div class="col-md-2 col-xs-5 footer-grids w3l-agileits"> <h2 style="color:#2e3032; font-size:18px; font-weight:600;">OUR AGENCY LOCATIONS</h2> <p style="font-size:15px;"> <ul style="list-style-type:square;color:#4a4a4a !important;font-family:Montserrat;padding-left:10px "> <li style="color:#4a4a4a !important;"> <a href="ghana-staffing-agency.html" style="color:#4a4a4a !important;font-family:Montserrat " class="footer-location"><b>USA</b></a> </li> <li style="color:#4a4a4a !important;"> <a href="belgium-staffing-agency.html" style="color:#4a4a4a !important;font-family:Montserrat "><b>Belgium</b></a> </li> </ul></p> </div> <div class="col-md-3 col-xs-4 footer-grids"> <h2 style="color:#2e3032; font-size:18px; font-weight:600;">OUR STAFFING INDUSTRIES</h2> <p style="font-size:15px;"> <ul style="list-style-type:square;color:#4a4a4a !important;font-family:Montserrat;padding-left:10px "> <li style="color:#4a4a4a !important;font-family:Montserrat "> <a href="warehouse-staffing.html" style="color:#4a4a4a !important;" class="footer-location"><b>Warehouse</b></a> </li> <li style="color:#4a4a4a !important;font-family:Montserrat "> <a href="hospitality-staffing.html" style="color:#4a4a4a !important;"><b>Hospitality</b></a> </li> <li style="color:#4a4a4a !important;font-family:Montserrat "> <a href="construction-staffing.html" style="color:#4a4a4a !important;"><b>Construction</b></a> </li> <li> <a href="manufacturing-staffing.html" style="color:#4a4a4a !important;font-family:Montserrat "><b>Manufacturing </b></a> </li> <li> <a href="IT-staffing.html" style="color:#4a4a4a !important;font-family:Montserrat "><b>IT Staffing</b></a> </li> <li> <a href="health-care-staffing.html" style="color:#4a4a4a !important;font-family:Montserrat "><b>Health Care Staffing</b></a> </li> <br/> </ul></p> </div> <div class="col-md-3 col-xs-3 footer-grids social-agileits"> <h2 style="color:#2e3032; font-size:18px; font-weight:600;">CONTACT</h2> <p style="font-size:15px" ><strong style="font-weight:600;">USA</strong><br/> <strong style="font-weight:600">Address : </strong> Orlando FL / Ashland PA. <br/></p> <strong style="font-weight:600">Email :</strong> info@samarecruitmentagency.com <br/> <strong style="font-weight:600;">Belgium</strong><br/> <strong style="font-weight:600">Address :</strong> Latemstraat 77 9839 Sint-Martens-Latem <br/> <strong style="font-weight:600">Email :</strong> be@samarecruitmentagency.com<br/>enquiries@samarecruitmentagency.com <br/> <strong style="font-weight:600;font-size:14.5px">Tel :</strong> +1(352)329-0067<br/> <div class="social-icons" style="margin-top:15px ! 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