MONA

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Last Name *

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country of residence *

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Nationality *

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Employment *

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Are you registered as Nurse? *

Do you have experience as nurse in clinical trials? *

Do you have a GCP certificate or documented training? *

Do you have experience in pediatric nursing? *

Are you able to perform visits at patient's home? *

Please provide your hourly rate $ *

Do you have experience with: *

Determine your time availability to work ? *

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