White Glove
Placement, Inc.

White Glove
Community Care, Inc.


85 Bartlett Street
Brooklyn, NY 11206
FAX (718) 387-8359
recruit@whiteglovecare.com
(718) 387-8181
(866) 387-8100

We staff hospitals and all healthcare facilities in NY and NJ.
We provide homecare in all of NYC and in Nassau County.


JCAHO Certified Nurse Staffing Agency
JCAHO Accredited Licensed
Home Care Service Agency

You have the right to contact the
Joint Commission Office of Quality
Monitoring at (800) 994-6610
or complaint@jointcommission.org
for any safety or quality concerns.

Copyright 1991-2010
All rights reserved, White Glove Placement, Inc./White Glove
Community Care, Inc.

Questionnaire
Please begin by completing the following questionnaire.
After you submit your questionnaire, one of our recruiters will contact you.
* Required
*Last Name:
*First Name:
Middle Name:
*Title:
 Other:
*Specialty Unit:
*Home Address:
*City:
* *Zip:
*Home Phone:
- -
*Cell Phone:
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Work Phone:
- - Ext:
Other Phone:
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*Email:
  If you do not have an email address, enter none
*What is the
best time to
contact you?
*In what type of
assignment are
you interested?
*How did you
hear about us?
Other:
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