Staffing Request Form

Help us serve you better

Name *

Phone number *

Email address *

What type of healthcare facility do you operate? *

What positions are you looking to fill? *

Please select at least one option.

Licensed Practical Nurses (LPNs)

Registered Nurses (RNs)

Certified Nursing Assistants (CNAs)

Medical Assistants

Registered Behavior Technicians (RBTs)

Physicians

What is the expected duration of staffing needed? *

What is the primary challenge you face in staffing? *

Please select at least one option.

High turnover rates

Difficulty in finding qualified candidates

Budget constraints

Compliance with regulations

What is the preferred method of communication? *

What is your location? *

Do you have specific skill requirements for the positions? *

What is your budget for staffing services? *

What is the timeline for filling these positions? *

Any additional comments or requirements?

Please select at least one option.

I consent to be contacted by Elite Recruiting & Consulting Services via phone, SMS, and email regarding my inquiry.

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I agree to the Terms of Service and Privacy Policy of this website, which are accessible via the site footer.

Once you click submit you will be redirected to book your consultation.

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