Supplier Application

Interested in Becoming a Member of Our Supplier Network?

CliniSight has the tools, knowlege, and expertise to help your organization succeed in the rapidly growing healthcare staffing industry:

As a Supplier partner of CliniSight’s Worforce Administration Services you will enjoy the following benefits:

- - A VMS Technology Solution to Streamline the Talent Acquisition and Billing Processes
  - Training & Support from Experts in Healthcare Staffing
  - Access to Job Orders within an Established Healthcare Staffing Agency Client Network

What we’re looking for in a Supplier Partner:

Complete this form to be considered for a supplier role in the CliniSight Vendor network.

"*" indicates required fields

Supplier Contact Name*

First Last

Supplier Contact Email*

Supplier Corporate Name*

Enter legal business name.

Years in business:*

Please enter a number from 0 to 50.

Business Entity - Type (e.g., LLC, S-Corp, C-corp, etc.)*

Enter type of business entity.

How did you hear about the CliniSight Workforce Administration Services program?*

Employee at CliniSight reached out to me.

Google search

Facebook

NATHO conference (or NATHO website)

Referred by colleague

Other

Other, please describe how you learned about this program below:

Corporate Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Staffing Capability*

Select each professional areas your organization is able to staff.

PO Box 342, Bennington, NE 68007
(402) 237 – 6015
info@clinisightllc.com