WORLD HEALTH RESOURCES, INC
RECRUITMENT AND PLACEMENT OF
FOREIGN HEALTH PROFESSIONALS

 


 

                                             

       

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                   

INFORMATION REQUEST FORM

     

1.  I am:

2.  I am interested in:

»  If you selected Personnel Services, please specify the area of interest:


»   If you selected Foreign Recruitment, please mark the area(s) of interest below:

  Registered Nurses
  Med-Techs
  Rad-Techs
  Physical Therapist
  Occupational Therapists
  Information Technology Professionals

»    If you selected OthersPlease specify:

3. We need your contact information :
 

Complete all sections below and submit your request.  
Thank you for your interest in WHR.

NAME :

    

TITLE :

   

COMPANY NAME:

   

St. Address 1:

   

St. Address 2:

   

City:

    State:   Zip:

Country:

   

E-MAIL :

   

PHONE :