Quick Application

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Have you worked in your current specialty for at least a year? *

Do you have a compact license? If no, what states do you have an active license? *

Cover letter (optional)

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Resume *

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Acknowledgement: *

I certify all information is true, accurate, and to the best of my knowledge. Any falsification of information provided above, may result in immediate termination of my employment with 3 Twelves, Inc.

 I understand and agree, typing my name below, will constitute as my signature.