{"id":17679,"date":"2018-08-07T15:46:41","date_gmt":"2018-08-07T15:46:41","guid":{"rendered":"http:\/\/workforcetransformations.com\/?page_id=17679"},"modified":"2018-08-07T15:50:21","modified_gmt":"2018-08-07T15:50:21","slug":"clientorder","status":"publish","type":"page","link":"https:\/\/workforcetransformations.com\/index.php\/clientorder\/","title":{"rendered":"Client Order"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-17678\"><form id=\"wpforms-form-17678\" class=\"wpforms-validate wpforms-form\" data-formid=\"17678\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/17679\" data-token=\"c7e0f0460256836f7d090494fff06653\" data-token-time=\"1791930630\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-17678-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_1\">Health System Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-17678-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_2\">Facility Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-17678-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_3\">Facility Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-17678-field_5-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_5\">Contract of Per Diem Request <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-17678-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"Contract\"  class=\"choice-1 depth-1\"  >Contract<\/option><option value=\"Per Diem\"  class=\"choice-2 depth-1\"  >Per Diem<\/option><\/select><\/div><div id=\"wpforms-17678-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_6\">Job Class <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-17678-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_7\">Area <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-17678-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_31\">Quantity <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-17678-field_8-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_8\">Assignment Start Date <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17678-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17678-field_9-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_9\">Assignment Length <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-17678-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"Days\"  class=\"choice-1 depth-1\"  >Days<\/option><option value=\"Weeks\"  class=\"choice-2 depth-1\"  >Weeks<\/option><\/select><\/div><div id=\"wpforms-17678-field_10-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"10\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-17678-field_10\">Assignm <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-17678-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"1\"  class=\"choice-4 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-5 depth-1\"  >2<\/option><option value=\"3\"  class=\"choice-6 depth-1\"  >3<\/option><option value=\"4\"  class=\"choice-7 depth-1\"  >4<\/option><option value=\"5\"  class=\"choice-8 depth-1\"  >5<\/option><option value=\"6\"  class=\"choice-9 depth-1\"  >6<\/option><option value=\"7\"  class=\"choice-10 depth-1\"  >7<\/option><option value=\"8\"  class=\"choice-11 depth-1\"  >8<\/option><option value=\"9\"  class=\"choice-12 depth-1\"  >9<\/option><option value=\"10\"  class=\"choice-13 depth-1\"  >10<\/option><option value=\"11\"  class=\"choice-14 depth-1\"  >11<\/option><option value=\"12\"  class=\"choice-15 depth-1\"  >12<\/option><option value=\"13\"  class=\"choice-16 depth-1\"  >13<\/option><option value=\"14\"  class=\"choice-17 depth-1\"  >14<\/option><option value=\"15\"  class=\"choice-18 depth-1\"  >15<\/option><option value=\"16\"  class=\"choice-19 depth-1\"  >16<\/option><option value=\"17\"  class=\"choice-20 depth-1\"  >17<\/option><option value=\"18\"  class=\"choice-21 depth-1\"  >18<\/option><option value=\"19\"  class=\"choice-22 depth-1\"  >19<\/option><option value=\"20\"  class=\"choice-23 depth-1\"  >20<\/option><option value=\"21\"  class=\"choice-24 depth-1\"  >21<\/option><option value=\"22\"  class=\"choice-25 depth-1\"  >22<\/option><option value=\"23\"  class=\"choice-26 depth-1\"  >23<\/option><option value=\"24\"  class=\"choice-27 depth-1\"  >24<\/option><option value=\"25\"  class=\"choice-28 depth-1\"  >25<\/option><option value=\"26\"  class=\"choice-29 depth-1\"  >26<\/option><\/select><\/div><div id=\"wpforms-17678-field_11-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_11\">Shift Start <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-17678-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"12:00 AM\"  class=\"choice-4 depth-1\"  >12:00 AM<\/option><option value=\"12:15 AM\"  class=\"choice-5 depth-1\"  >12:15 AM<\/option><option value=\"12:30 AM\"  class=\"choice-6 depth-1\"  >12:30 AM<\/option><option value=\"12:45 AM\"  class=\"choice-7 depth-1\"  >12:45 AM<\/option><option value=\"1:00 AM\"  class=\"choice-8 depth-1\"  >1:00 AM<\/option><option value=\"1:15 AM\"  class=\"choice-9 depth-1\"  >1:15 AM<\/option><option value=\"1:30 AM\"  class=\"choice-10 depth-1\"  >1:30 AM<\/option><option value=\"1:45 AM\"  class=\"choice-11 depth-1\"  >1:45 AM<\/option><option value=\"2:00 AM\"  class=\"choice-12 depth-1\"  >2:00 AM<\/option><option value=\"2:15 AM\"  class=\"choice-13 depth-1\"  >2:15 AM<\/option><option value=\"2:30 AM\"  class=\"choice-14 depth-1\"  >2:30 AM<\/option><option value=\"2:45 AM\"  class=\"choice-15 depth-1\"  >2:45 AM<\/option><option value=\"3:00 AM\"  class=\"choice-16 depth-1\"  >3:00 AM<\/option><option value=\"3:15 AM\"  class=\"choice-17 depth-1\"  >3:15 AM<\/option><option value=\"3:30 AM\"  class=\"choice-18 depth-1\"  >3:30 AM<\/option><option value=\"3:45 AM\"  class=\"choice-19 depth-1\"  >3:45 AM<\/option><option value=\"4:00 AM\"  class=\"choice-20 depth-1\"  >4:00 AM<\/option><option value=\"4:15 AM\"  class=\"choice-21 depth-1\"  >4:15 AM<\/option><option value=\"4:30 AM\"  class=\"choice-22 depth-1\"  >4:30 AM<\/option><option value=\"4:45 AM\"  class=\"choice-23 depth-1\"  >4:45 AM<\/option><option value=\"5:00 AM\"  class=\"choice-24 depth-1\"  >5:00 AM<\/option><option value=\"5:15 AM\"  class=\"choice-25 depth-1\"  >5:15 AM<\/option><option value=\"5:30 AM\"  class=\"choice-26 depth-1\"  >5:30 AM<\/option><option value=\"5:45 AM\"  class=\"choice-27 depth-1\"  >5:45 AM<\/option><option value=\"6:00 AM\"  class=\"choice-28 depth-1\"  >6:00 AM<\/option><option value=\"6:15 AM\"  class=\"choice-29 depth-1\"  >6:15 AM<\/option><option value=\"6:30 AM\"  class=\"choice-30 depth-1\"  >6:30 AM<\/option><option value=\"6:45 AM\"  class=\"choice-31 depth-1\"  >6:45 AM<\/option><option value=\"7:00 AM\"  class=\"choice-32 depth-1\"  >7:00 AM<\/option><option value=\"7:15 AM\"  class=\"choice-33 depth-1\"  >7:15 AM<\/option><option value=\"7:30 AM\"  class=\"choice-34 depth-1\"  >7:30 AM<\/option><option value=\"7:45 AM\"  class=\"choice-35 depth-1\"  >7:45 AM<\/option><option value=\"8:00 AM\"  class=\"choice-36 depth-1\"  >8:00 AM<\/option><option value=\"8:15 AM\"  class=\"choice-37 depth-1\"  >8:15 AM<\/option><option value=\"8:30 AM\"  class=\"choice-38 depth-1\"  >8:30 AM<\/option><option value=\"8:45 AM\"  class=\"choice-39 depth-1\"  >8:45 AM<\/option><option value=\"9:00 AM\"  class=\"choice-40 depth-1\"  >9:00 AM<\/option><option value=\"9:15 AM\"  class=\"choice-41 depth-1\"  >9:15 AM<\/option><option value=\"9:30 AM\"  class=\"choice-42 depth-1\"  >9:30 AM<\/option><option value=\"9:45 AM\"  class=\"choice-43 depth-1\"  >9:45 AM<\/option><option value=\"10:00 AM\"  class=\"choice-44 depth-1\"  >10:00 AM<\/option><option value=\"10:15 AM\"  class=\"choice-45 depth-1\"  >10:15 AM<\/option><option value=\"10:30 AM\"  class=\"choice-46 depth-1\"  >10:30 AM<\/option><option value=\"10:45 AM\"  class=\"choice-47 depth-1\"  >10:45 AM<\/option><option value=\"11:00 AM\"  class=\"choice-48 depth-1\"  >11:00 AM<\/option><option value=\"11:15 AM\"  class=\"choice-49 depth-1\"  >11:15 AM<\/option><option value=\"11:30 AM\"  class=\"choice-50 depth-1\"  >11:30 AM<\/option><option value=\"11:45 AM\"  class=\"choice-51 depth-1\"  >11:45 AM<\/option><option value=\"12:00 PM\"  class=\"choice-52 depth-1\"  >12:00 PM<\/option><option value=\"12:15 PM\"  class=\"choice-53 depth-1\"  >12:15 PM<\/option><option value=\"12:30 PM\"  class=\"choice-54 depth-1\"  >12:30 PM<\/option><option value=\"12:45 PM\"  class=\"choice-55 depth-1\"  >12:45 PM<\/option><option value=\"1:00 PM\"  class=\"choice-56 depth-1\"  >1:00 PM<\/option><option value=\"1:15 PM\"  class=\"choice-57 depth-1\"  >1:15 PM<\/option><option value=\"1:30 PM\"  class=\"choice-58 depth-1\"  >1:30 PM<\/option><option value=\"1:45 PM\"  class=\"choice-59 depth-1\"  >1:45 PM<\/option><option value=\"2:00 PM\"  class=\"choice-60 depth-1\"  >2:00 PM<\/option><option value=\"2:15 PM\"  class=\"choice-61 depth-1\"  >2:15 PM<\/option><option value=\"2:30 PM\"  class=\"choice-62 depth-1\"  >2:30 PM<\/option><option value=\"2:45 PM\"  class=\"choice-63 depth-1\"  >2:45 PM<\/option><option value=\"3:00 PM\"  class=\"choice-64 depth-1\"  >3:00 PM<\/option><option value=\"3:15 PM\"  class=\"choice-65 depth-1\"  >3:15 PM<\/option><option value=\"3:30 PM\"  class=\"choice-66 depth-1\"  >3:30 PM<\/option><option value=\"3:45 PM\"  class=\"choice-67 depth-1\"  >3:45 PM<\/option><option value=\"4:00 PM\"  class=\"choice-68 depth-1\"  >4:00 PM<\/option><option value=\"4:15 PM\"  class=\"choice-69 depth-1\"  >4:15 PM<\/option><option value=\"4:30 PM\"  class=\"choice-70 depth-1\"  >4:30 PM<\/option><option value=\"4:45 PM\"  class=\"choice-71 depth-1\"  >4:45 PM<\/option><option value=\"5:00 PM\"  class=\"choice-72 depth-1\"  >5:00 PM<\/option><option value=\"5:15 PM\"  class=\"choice-73 depth-1\"  >5:15 PM<\/option><option value=\"5:30 PM\"  class=\"choice-74 depth-1\"  >5:30 PM<\/option><option value=\"5:45 PM\"  class=\"choice-75 depth-1\"  >5:45 PM<\/option><option value=\"6:00 PM\"  class=\"choice-76 depth-1\"  >6:00 PM<\/option><option value=\"6:15 PM\"  class=\"choice-77 depth-1\"  >6:15 PM<\/option><option value=\"6:30 PM\"  class=\"choice-78 depth-1\"  >6:30 PM<\/option><option value=\"6:45 PM\"  class=\"choice-79 depth-1\"  >6:45 PM<\/option><option value=\"7:00 PM\"  class=\"choice-80 depth-1\"  >7:00 PM<\/option><option value=\"7:15 PM\"  class=\"choice-81 depth-1\"  >7:15 PM<\/option><option value=\"7:30 PM\"  class=\"choice-82 depth-1\"  >7:30 PM<\/option><option value=\"7:45 PM\"  class=\"choice-83 depth-1\"  >7:45 PM<\/option><option value=\"8:00 PM\"  class=\"choice-84 depth-1\"  >8:00 PM<\/option><option value=\"8:15 PM\"  class=\"choice-85 depth-1\"  >8:15 PM<\/option><option value=\"8:30 PM\"  class=\"choice-86 depth-1\"  >8:30 PM<\/option><option value=\"8:45 PM\"  class=\"choice-87 depth-1\"  >8:45 PM<\/option><option value=\"9:00 PM\"  class=\"choice-88 depth-1\"  >9:00 PM<\/option><option value=\"9:15 PM\"  class=\"choice-89 depth-1\"  >9:15 PM<\/option><option value=\"9:30 PM\"  class=\"choice-90 depth-1\"  >9:30 PM<\/option><option value=\"9:45 PM\"  class=\"choice-91 depth-1\"  >9:45 PM<\/option><option value=\"10:00 PM\"  class=\"choice-92 depth-1\"  >10:00 PM<\/option><option value=\"10:15 PM\"  class=\"choice-93 depth-1\"  >10:15 PM<\/option><option value=\"10:30 PM\"  class=\"choice-94 depth-1\"  >10:30 PM<\/option><option value=\"10:45 PM\"  class=\"choice-95 depth-1\"  >10:45 PM<\/option><option value=\"11:00 PM\"  class=\"choice-96 depth-1\"  >11:00 PM<\/option><option value=\"11:15 PM\"  class=\"choice-97 depth-1\"  >11:15 PM<\/option><option value=\"11:30 PM\"  class=\"choice-98 depth-1\"  >11:30 PM<\/option><option value=\"11:45 PM\"  class=\"choice-99 depth-1\"  >11:45 PM<\/option><\/select><\/div><div id=\"wpforms-17678-field_12-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_12\">Shift End <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-17678-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"12:00 AM\"  class=\"choice-4 depth-1\"  >12:00 AM<\/option><option value=\"12:15 AM\"  class=\"choice-5 depth-1\"  >12:15 AM<\/option><option value=\"12:30 AM\"  class=\"choice-6 depth-1\"  >12:30 AM<\/option><option value=\"12:45 AM\"  class=\"choice-7 depth-1\"  >12:45 AM<\/option><option value=\"1:00 AM\"  class=\"choice-8 depth-1\"  >1:00 AM<\/option><option value=\"1:15 AM\"  class=\"choice-9 depth-1\"  >1:15 AM<\/option><option value=\"1:30 AM\"  class=\"choice-10 depth-1\"  >1:30 AM<\/option><option value=\"1:45 AM\"  class=\"choice-11 depth-1\"  >1:45 AM<\/option><option value=\"2:00 AM\"  class=\"choice-12 depth-1\"  >2:00 AM<\/option><option value=\"2:15 AM\"  class=\"choice-13 depth-1\"  >2:15 AM<\/option><option value=\"2:30 AM\"  class=\"choice-14 depth-1\"  >2:30 AM<\/option><option value=\"2:45 AM\"  class=\"choice-15 depth-1\"  >2:45 AM<\/option><option value=\"3:00 AM\"  class=\"choice-16 depth-1\"  >3:00 AM<\/option><option value=\"3:15 AM\"  class=\"choice-17 depth-1\"  >3:15 AM<\/option><option value=\"3:30 AM\"  class=\"choice-18 depth-1\"  >3:30 AM<\/option><option value=\"3:45 AM\"  class=\"choice-19 depth-1\"  >3:45 AM<\/option><option value=\"4:00 AM\"  class=\"choice-20 depth-1\"  >4:00 AM<\/option><option value=\"4:15 AM\"  class=\"choice-21 depth-1\"  >4:15 AM<\/option><option value=\"4:30 AM\"  class=\"choice-22 depth-1\"  >4:30 AM<\/option><option value=\"4:45 AM\"  class=\"choice-23 depth-1\"  >4:45 AM<\/option><option value=\"5:00 AM\"  class=\"choice-24 depth-1\"  >5:00 AM<\/option><option value=\"5:15 AM\"  class=\"choice-25 depth-1\"  >5:15 AM<\/option><option value=\"5:30 AM\"  class=\"choice-26 depth-1\"  >5:30 AM<\/option><option value=\"5:45 AM\"  class=\"choice-27 depth-1\"  >5:45 AM<\/option><option value=\"6:00 AM\"  class=\"choice-28 depth-1\"  >6:00 AM<\/option><option value=\"6:15 AM\"  class=\"choice-29 depth-1\"  >6:15 AM<\/option><option value=\"6:30 AM\"  class=\"choice-30 depth-1\"  >6:30 AM<\/option><option value=\"6:45 AM\"  class=\"choice-31 depth-1\"  >6:45 AM<\/option><option value=\"7:00 AM\"  class=\"choice-32 depth-1\"  >7:00 AM<\/option><option value=\"7:15 AM\"  class=\"choice-33 depth-1\"  >7:15 AM<\/option><option value=\"7:30 AM\"  class=\"choice-34 depth-1\"  >7:30 AM<\/option><option value=\"7:45 AM\"  class=\"choice-35 depth-1\"  >7:45 AM<\/option><option value=\"8:00 AM\"  class=\"choice-36 depth-1\"  >8:00 AM<\/option><option value=\"8:15 AM\"  class=\"choice-37 depth-1\"  >8:15 AM<\/option><option value=\"8:30 AM\"  class=\"choice-38 depth-1\"  >8:30 AM<\/option><option value=\"8:45 AM\"  class=\"choice-39 depth-1\"  >8:45 AM<\/option><option value=\"9:00 AM\"  class=\"choice-40 depth-1\"  >9:00 AM<\/option><option value=\"9:15 AM\"  class=\"choice-41 depth-1\"  >9:15 AM<\/option><option value=\"9:30 AM\"  class=\"choice-42 depth-1\"  >9:30 AM<\/option><option value=\"9:45 AM\"  class=\"choice-43 depth-1\"  >9:45 AM<\/option><option value=\"10:00 AM\"  class=\"choice-44 depth-1\"  >10:00 AM<\/option><option value=\"10:15 AM\"  class=\"choice-45 depth-1\"  >10:15 AM<\/option><option value=\"10:30 AM\"  class=\"choice-46 depth-1\"  >10:30 AM<\/option><option value=\"10:45 AM\"  class=\"choice-47 depth-1\"  >10:45 AM<\/option><option value=\"11:00 AM\"  class=\"choice-48 depth-1\"  >11:00 AM<\/option><option value=\"11:15 AM\"  class=\"choice-49 depth-1\"  >11:15 AM<\/option><option value=\"11:30 AM\"  class=\"choice-50 depth-1\"  >11:30 AM<\/option><option value=\"11:45 AM\"  class=\"choice-51 depth-1\"  >11:45 AM<\/option><option value=\"12:00 PM\"  class=\"choice-52 depth-1\"  >12:00 PM<\/option><option value=\"12:15 PM\"  class=\"choice-53 depth-1\"  >12:15 PM<\/option><option value=\"12:30 PM\"  class=\"choice-54 depth-1\"  >12:30 PM<\/option><option value=\"12:45 PM\"  class=\"choice-55 depth-1\"  >12:45 PM<\/option><option value=\"1:00 PM\"  class=\"choice-56 depth-1\"  >1:00 PM<\/option><option value=\"1:15 PM\"  class=\"choice-57 depth-1\"  >1:15 PM<\/option><option value=\"1:30 PM\"  class=\"choice-58 depth-1\"  >1:30 PM<\/option><option value=\"1:45 PM\"  class=\"choice-59 depth-1\"  >1:45 PM<\/option><option value=\"2:00 PM\"  class=\"choice-60 depth-1\"  >2:00 PM<\/option><option value=\"2:15 PM\"  class=\"choice-61 depth-1\"  >2:15 PM<\/option><option value=\"2:30 PM\"  class=\"choice-62 depth-1\"  >2:30 PM<\/option><option value=\"2:45 PM\"  class=\"choice-63 depth-1\"  >2:45 PM<\/option><option value=\"3:00 PM\"  class=\"choice-64 depth-1\"  >3:00 PM<\/option><option value=\"3:15 PM\"  class=\"choice-65 depth-1\"  >3:15 PM<\/option><option value=\"3:30 PM\"  class=\"choice-66 depth-1\"  >3:30 PM<\/option><option value=\"3:45 PM\"  class=\"choice-67 depth-1\"  >3:45 PM<\/option><option value=\"4:00 PM\"  class=\"choice-68 depth-1\"  >4:00 PM<\/option><option value=\"4:15 PM\"  class=\"choice-69 depth-1\"  >4:15 PM<\/option><option value=\"4:30 PM\"  class=\"choice-70 depth-1\"  >4:30 PM<\/option><option value=\"4:45 PM\"  class=\"choice-71 depth-1\"  >4:45 PM<\/option><option value=\"5:00 PM\"  class=\"choice-72 depth-1\"  >5:00 PM<\/option><option value=\"5:15 PM\"  class=\"choice-73 depth-1\"  >5:15 PM<\/option><option value=\"5:30 PM\"  class=\"choice-74 depth-1\"  >5:30 PM<\/option><option value=\"5:45 PM\"  class=\"choice-75 depth-1\"  >5:45 PM<\/option><option value=\"6:00 PM\"  class=\"choice-76 depth-1\"  >6:00 PM<\/option><option value=\"6:15 PM\"  class=\"choice-77 depth-1\"  >6:15 PM<\/option><option value=\"6:30 PM\"  class=\"choice-78 depth-1\"  >6:30 PM<\/option><option value=\"6:45 PM\"  class=\"choice-79 depth-1\"  >6:45 PM<\/option><option value=\"7:00 PM\"  class=\"choice-80 depth-1\"  >7:00 PM<\/option><option value=\"7:15 PM\"  class=\"choice-81 depth-1\"  >7:15 PM<\/option><option value=\"7:30 PM\"  class=\"choice-82 depth-1\"  >7:30 PM<\/option><option value=\"7:45 PM\"  class=\"choice-83 depth-1\"  >7:45 PM<\/option><option value=\"8:00 PM\"  class=\"choice-84 depth-1\"  >8:00 PM<\/option><option value=\"8:15 PM\"  class=\"choice-85 depth-1\"  >8:15 PM<\/option><option value=\"8:30 PM\"  class=\"choice-86 depth-1\"  >8:30 PM<\/option><option value=\"8:45 PM\"  class=\"choice-87 depth-1\"  >8:45 PM<\/option><option value=\"9:00 PM\"  class=\"choice-88 depth-1\"  >9:00 PM<\/option><option value=\"9:15 PM\"  class=\"choice-89 depth-1\"  >9:15 PM<\/option><option value=\"9:30 PM\"  class=\"choice-90 depth-1\"  >9:30 PM<\/option><option value=\"9:45 PM\"  class=\"choice-91 depth-1\"  >9:45 PM<\/option><option value=\"10:00 PM\"  class=\"choice-92 depth-1\"  >10:00 PM<\/option><option value=\"10:15 PM\"  class=\"choice-93 depth-1\"  >10:15 PM<\/option><option value=\"10:30 PM\"  class=\"choice-94 depth-1\"  >10:30 PM<\/option><option value=\"10:45 PM\"  class=\"choice-95 depth-1\"  >10:45 PM<\/option><option value=\"11:00 PM\"  class=\"choice-96 depth-1\"  >11:00 PM<\/option><option value=\"11:15 PM\"  class=\"choice-97 depth-1\"  >11:15 PM<\/option><option value=\"11:30 PM\"  class=\"choice-98 depth-1\"  >11:30 PM<\/option><option value=\"11:45 PM\"  class=\"choice-99 depth-1\"  >11:45 PM<\/option><\/select><\/div><div id=\"wpforms-17678-field_33-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_33\">Incentive Differential Base Rate Addition<\/label><select id=\"wpforms-17678-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\"><option value=\"$0\"  class=\"choice-1 depth-1\"  >$0<\/option><option value=\"$1\"  class=\"choice-2 depth-1\"  >$1<\/option><option value=\"$2\"  class=\"choice-3 depth-1\"  >$2<\/option><option value=\"$3\"  class=\"choice-4 depth-1\"  >$3<\/option><option value=\"$4\"  class=\"choice-5 depth-1\"  >$4<\/option><option value=\"$5\"  class=\"choice-6 depth-1\"  >$5<\/option><option value=\"Submit Required Rate\"  class=\"choice-7 depth-1\"  >Submit Required Rate<\/option><\/select><\/div><div id=\"wpforms-17678-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_13\">Hours Guaranteed<\/label><input type=\"text\" id=\"wpforms-17678-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-17678-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Blocked Scheduling Available<\/label><ul id=\"wpforms-17678-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17678-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17678-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17678-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17678-field_34_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-17678-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_14\">Weekend Requirement<\/label><input type=\"text\" id=\"wpforms-17678-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-17678-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_15\">On Call Requirement<\/label><input type=\"text\" id=\"wpforms-17678-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-17678-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_16\">Floating Requirement \/ Locations<\/label><input type=\"text\" id=\"wpforms-17678-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-17678-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_17\">Certification Requirements (in addition to standard credentials)<\/label><input type=\"text\" id=\"wpforms-17678-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-17678-field_19-container\" class=\"wpforms-field wpforms-field-select\" data-field-type=\"select\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_19\">Years Experience Required<\/label><select id=\"wpforms-17678-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\"><option value=\"0\"  class=\"choice-1 depth-1\"  >0<\/option><option value=\"1\"  class=\"choice-2 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-3 depth-1\"  >2<\/option><option value=\"3\"  class=\"choice-4 depth-1\"  >3<\/option><option value=\"4\"  class=\"choice-5 depth-1\"  >4<\/option><option value=\"5+\"  class=\"choice-6 depth-1\"  >5+<\/option><\/select><\/div><div id=\"wpforms-17678-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_20\">Unit Information \/ Patient Population<\/label><input type=\"text\" id=\"wpforms-17678-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/div><div id=\"wpforms-17678-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_21\">Nurse \/ Patient Ratio<\/label><input type=\"text\" id=\"wpforms-17678-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-17678-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_22\">Number of Beds<\/label><input type=\"text\" id=\"wpforms-17678-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-17678-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_23\">EMR Used<\/label><input type=\"text\" id=\"wpforms-17678-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/div><div id=\"wpforms-17678-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_24\">Dress Code (business professional, business casual, scrub color, etc.)<\/label><input type=\"text\" id=\"wpforms-17678-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-17678-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_25\">Orientation Dates and Additional Information<\/label><input type=\"text\" id=\"wpforms-17678-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-17678-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger\" data-field-type=\"select\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_26\">On Site Testing Required<\/label><select id=\"wpforms-17678-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\"><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><\/select><\/div><div id=\"wpforms-17678-field_27-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_27\">What Testing<\/label><input type=\"text\" id=\"wpforms-17678-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-17678-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_28\">Requested By <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/div><div id=\"wpforms-17678-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_29\">Request Authorized By <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-17678-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_30\">Submit Candidates To (name and email) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17678-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-17678-field_35-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-17678-field_35\">Additional Notes<\/label><textarea id=\"wpforms-17678-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-17678-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-17678-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"17678\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1791930630.022d5fa50c49d4bb351a7199e613719d41453f317b422647d72fda2fd5171cd6\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17679\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-17678\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"class_list":["post-17679","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/comments?post=17679"}],"version-history":[{"count":1,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17679\/revisions"}],"predecessor-version":[{"id":17680,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17679\/revisions\/17680"}],"wp:attachment":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/media?parent=17679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}