Client Portal It is our goal to make this process smooth and user friendly. We are excited to except your job submissions and talent request. EHS Talent Request Form Organization Name Organization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Administration Name First Last Job Title / Role Email PhoneRequested Healthcare DisciplineRegistered Nurse (RN)Licensed Practical Nurse (LPN)Certified Nursing Assistant (CNA)Patient Care Assistant (PCA)Shift Requested7am - 3pm3pm - 11pm11pm - 7am7am - 7pm7pm - 7amDate Requested MM slash DD slash YYYY