Apply to Referral Application

Thank you for referring an RN friend! Once your referral is submitted to us, we'll reach out to you with the referral bonus as soon as they complete their first 13 week assignment with us.

Your Info

Please filled out your info below.

First Name *

Last Name *

Email *

Have you worked with us? *

YesNo

If yes, who is your recruiter?

Referral Info

Please fill out your referral's information below (only RN referrals will be accepted).

Referral's Full Name *

Referral's RN Specialty *

Referral's Contact Info *

Referral's Location (City and/or State) *

Enter Today's Date *

I understand that the RN referred by me must complete their first 13 week travel assignment with Quik Travel Staffing, Inc. before I receive the $650 bonus. *

Powered by