SEARCH



Sign up to work with CPR now!
*First Name
*Last Name
*Date Available
Home Address
City
State - enter two character state code: CO
Zip Code
*Email Address
*Home or Cell Phone Number
Best Time to Call
*Degree
  CNM
  DDS
  DMD
  DO
  MD
  NP
  PA
  RDH
  Other
If other degree selected, please describe:
*Specialty
  Certified Nurse Midwife
  Dental Hygienist
  Dentist
  Emergency Medicine Physician
  Family Physician
  General Surgeon
  IM/Peds
  Internal Medicine Physician
  Medical Director
  Nurse Practitioner
  OB/GYN
  Pediatrician
  Physician Assistant
  Physician Assistant/Family Nurse Practitioner
  All
  Dental Assistant
  Family Nurse Practitioner
  Adult Nurse Practitioner
If other specialty selected, please describe:
*Medical/Graduate/Training School
*State - enter two character state code: CO
*Month/Year Graduate
Residency
State - enter two character state code: CO
Month/Year Graduated
Fellowship
State - enter two character state code: CO
Month/Year Graduated
For physicians:
*Board Status:
  Board Certified
  Board Eligible
  Will be eligible
  N/A
If going to be eligible, please indicate what date:
Licensed in what state - enter two character state code: CO
Pending license in which state - enter two character state code: CO
Obligations
Loan repayment (Length of obligation)
Other
*Current Position:
  Student
  Resident or Fellow
  Chief Resident
  In practice
Years of experience post training:
*Important factors for your practice
Medical Providers:
Practice Preference: Inpatient, outpatient or both?
  I/P
  O/P
  Both
Family Physicians:
Do you require OB in your practice?
  Yes
  No
  No Preference
Do you require c-sections in your practice?
  Yes
  No
  No Preference
Nurse Practitioners:
Do you have prescriptive authority?
  Yes
  No
  Will be eligible
If you will be eligible, please describe:
What are your salary requirements?
Preferred location
  Front Range
  Northeast
  Northwest
  Resort West
  South Central
  Southeast
  Southwest
Additional location comments:
*Important factors in your selection of a location for you and your family
*Residency Status
  US
  H1-B
  J1
  Permanent Resident
  Other
If other status selected, please describe
*Marital Status
  Single
  Married
  Significant Other
  Other
If other marital status selected, please describe
Number of children
Children's ages
Spouse/Significant other's name:
Spouse/Significant other's occupation
How did you hear about CPR?
  Job Fair
  Professional Conference
  Word of mouth by colleague/friend
  Word of mouth by professional organization
  Practice Match
  3RNet
  Online job board
  Web search
  Residency/School presentation
  Colorado Health Service Corp Website
  Other
  Physemp.com
If other source selected, please describe
Please submit your CV with your interview form here (only .doc, .txt, .pdf permitted).