You can win $1000 by referring a friend of colleague who might be interested in traveling with CaliforniaNursing.  Every time you submit an RN's name and phone number you will receive an entry for the $1000 giveaway.  So, the more names you send us, the greater your chance to win!!!

Unlike some other companies, you do not need to be traveling with CaliforniaNursing in order to be eligible to win.

Mr. Mrs. Miss    First Name: 

 Last Name: 

Address:          Apt.# 

City:                  State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY     Zip: 

Phone Number:  Day-     Evening-

E-Mail Address: 

Discipline:  RN  LPN  OR Tech  Other

Specialty:  (Hold CTRL for Multiple Selections)

ICU/CCU CVICU NICU PICU PACU MS ER OR L&D Telemetry Step Down Unit Psych Post Partum Mother Baby Dialysis Pediatrics

Referred By:

Your Name: 

Address:          Apt.# 

City:                  State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY     Zip: 

Phone Number:  Day-     Evening-

E-Mail Address: 

Referral Code (if applicable):