Qualification Requirements
| Recruitment |
HCCA International
Surname
Age
Firstname
Marital Status
Nickname
Work Landline
Mobile
Home Landline
Email
Are you currently employed in a hospital?
yes
no
* - Required Field
Hospital
*
Current Unit Assignment
Medical or Surgical
ICU
CCU
Stepdown
Telemetry
Pediatrics
PICU
NICU
ER
OR
others (please specify)
Position
Staff Nurse
Volunteer Nurse
Charge Nurse
Nurse Reliever
Nurse Supervisor
If Others, please specify:
Address
Bed Capacity
How long?/Tenure :
Below 6 months
6 months to 1 year
1 to 2 years
2 to 3 years
3 years and above
Score
Date Taken (mm/dd/yyyy)
PRC
NCLEX
--
Pass
Fail
CGFNS
IELTS
TOEFL
TSE
Can you undergo 3-month NCLEX review (for non-NCLEX passers)?
yes
no
Do you have a pending applications with any Philippines recruitment agency?
yes
no
If yes, which agency?
How did you find out about HCCA?
POEA
HCCA Nurse
Newspaper, please specify
Website, please specify
Others, please specify
(c) 2005 HCCA Philippines, Inc. All rights reserved.
