Name * Non-work Email Work Site * Job Title * During which of the following years were you employed by the State as an RN, performing shift work in a 24-hour facility? 2014 2015 2016 None of the above NOTE: Please only consider years during which you were in this position for the ENTIRETY of the calendar year During which of the following years did you receive a Retention Bonus? 2015 2016 2017 I have not received a bonus in the past 3 years Leave this field blank
