Thank you for your interest in helping the communities around you as we strive to help those that have been affected by COVID-19. Please fill out the form below and one of our staffing experts will reach out to you shortly.

  • Please provide a phone number Premier can reach you at
  • Please provide an email address Premier can reach you at
  • Please Select Your Primary Certification
  • Please list the specialties/specialty you've had experience in within the last year.
  • How many years of experience do you have in your primary certification listed above?
  • Please list the state(s) you are licensed in
  • Please list the soonest you can start an assignment