If you are not redirected to the "Thank You" page after you click the submit button then the browser or firewall you are currently using is not configured to send this feedback form. In that case, you mays either print out this page, fill in the information requested and fax the form to: IRG Feedback at (213) 632-1523 OR you may highlight the text in the form below, copy and paste it to your email where you may fill in the information, and send via email to us at irg@irgwebsite.com

Thank you.

How did you learn about this web site?* (please choose one) (e.g. Friend/Relative, Television, Newspaper, Internet Search, Radio, School, Web site link or other sources)
First Name*
Last Name*
Address 1*
Address 2*
Country*
Email Address *
Daytime Phone*
Evening Phone*
Passed CGFNS?*	Yes No
Passed NCLEX?*	Yes No
Years of Nursing Expeience*
List all your specialties (e.g. ICU, ER, etc)*
Work Experience*

[About Us] [For Nurses] [For Teachers] [Healthcare Employers] [Education Employers] [Jobs]

Copyright 2003, 2004. IRG: International Recruiting Group. All rights reserved.
Tel: (213) 632-1200 . Fax: (213) 632-1523. Email: irg@irgwebsite.com
695 S. Vermont Avenue, Suite 1100, Los Angeles, California 90005
.