Thank you for your interest in the Staff
Station referral program. If you have a friend who is interested in
a travel nurse position or working per diem assignments with Staff
Station, LLC you can submit their name and contact information
through our referral program. You can earn referral fees of up to
$750.00 depending on the nurses certification.
You do not have to be an employee or even a healthcare
professional to be eligible for the referral program.
The program works like this:
If you refer an Registered Nurse the referral fee is
$750.00. The fee is paid out at $1.00 per hour
worked by the nurse until they complete 750 hours of work. The fee
is paid weekly.
If you refer an LPN the referral fee is $350.00.
The fee is paid out at .75˘ per hour worked by the nurse until they
complete 467 hours of work. The fee is paid weekly.
If you refer an CNA/CNT the referral fee is
$250.00. The fee is paid out at .50˘ per hour
worked by the nurse until they complete 500 hours of work. The fee
is paid weekly.
You can refer as many nurses as you wish. Once again thank you
for thinking of Staff Station first.
After you fill out the form below feel free to contact us at
anytime for an update on your referral. After completing this form
you can “click” on “add another referral” to refer another friend or
“Send” when finished.
“*” indicates a required field.
Referral
Information Form
Please Enter
Your Contact Information
Your First Name:*
Your Last Name:*
Phone:*
Email:*
Mailing
Address:
City
State
Zip
,
Contact Information for Person You are
Referring
First Name:*
Last Name:*
Referral's
Title:*
Referral's
Specialty:*
(ex. Med/Surg, OR, ER, etc.)
Referral's
Experience:*
Primary
Phone:*
Secondary
Phone:
Email
Address:
Best Time to
Call:*
What States will Your Referral
Accept a Contract Assignment In:
1.
2.
3.
Job
Preference: (Hold Ctrl
to select multiple)
How did you hear about
us?
Choose One Referral From a Friend Telephone Call Flyer/Postcard Trade Journal -- Please Tell Us Which One: Internet Search Engine -- Other -- Please Tell Us How:
Should we mention your
name?*
Yes
No
Tell us how we can best serve your
Referral:
Comprehensive Services What makes
us the best? We find the right positions and the right professionals
to fill them.
