Exploring the interest and availability of trained health professionals who entered the U.S. as refugees or immigrants

The IRC is seeking expressions of interest by refugees and immigrants who obtained a degree or certification in the health care field prior to arrival in the US and are now interested in the possibility of assisting in the COVID-19 emergency response.

Providing information does not guarantee follow up or placement. Personal information will not be shared with third parties without prior consent.

Please fill out the form below to register your interest in the IRC health provider roster.

Health Provider Roster form

Name *

Family Name (Last Name)

Name *

Given Name (First Name)

Are you authorized to work in the US? *

Yes

What state are you currently residing in? *

City *

Email *

Phone *

Are you currently employed? *

Yes

What type of medical professional are you? * What type of medical professional are you?

The medical or health degree/certification you hold: *

The country that issued your degree:

Have you taken steps towards re-credentialing or re-certification in the U.S.? *

If yes, please describe.

Have you worked in the healthcare field in the U.S. in any capacity? *

If yes, please describe.

Have you earned any additional medical certifications while in the U.S.? *

If yes, please describe.

How many years of clinical practice do you have? *

Area of clinical specialty * Area of clinical specialty

Please confirm if you have these procedural skill sets:

Manage ventilator

Manage noninvasive ventilation

ICU procedures

Intubation

Central Lines

Arterial Lines

Interpret EKG

Other Skills

OtherOther

Other Skills

None of the above

When did you last work clinically? * When did you last work clinically?

Proficiency in spoken English *

Proficiency in written English *

Are you interested in paid work? *

Are you interested in volunteering? *

Are you willing to travel to assist in the response? *

If yes, any limitations?

Anything you would like to add?

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