Seaview Patient Care Technician Interest Form

Seaview PCT/CNA Recruitment Event

Staten Island, NY

November 12, 2026

Reservation confirmation required.

Question Title

1. First and Last Name (Required.)

Question Title

2. Email (Required.)

Question Title

3. Phone Number (Required.)

Question Title

4. Do you currently hold a New York State Nurse's Aide Certificate? (Required.)

Yes

Question Title

5. If you do not hold a New York State Nurse's Aide Certificate but are pursuing CNA certification, please indicate when you estimate you will receive it. (Required.)

Within 30 days

Over 30 days

I do not have a C.N.A. certification and do not plan to acquire one.

I already have a C.N.A. certification

Question Title

6. Are you willing to work in a Skilled Nursing Facility (ie Nursing Home/Rehab) setting? (Required.)

Yes

Question Title

7. Have you previously worked at a NYC Health + Hospitals facility? (Required.)

Yes

Question Title

8. How many years of related experience do you have? (Required.)

0-1 year

1 - 5 years

5 years or more

Question Title

9. Are you able to work every other weekend? (Required.)

Yes

Question Title

10. To complete this registration request, please attach a copy of your resume. (Required.)

**Thank you for your registration request.

Seaview Patient Care Technician Interest Form

Question Title

* 1. First and Last Name (Required.)

Question Title

* 2. Email (Required.)

Question Title

* 3. Phone Number (Required.)

Question Title

* 4. Do you currently hold a New York State Nurse's Aide Certificate? (Required.)

Question Title

* 5. If you do not hold a New York State Nurse's Aide Certificate but are pursuing CNA certification, please indicate when you estimate you will receive it. (Required.)

Question Title

* 6. Are you willing to work in a Skilled Nursing Facility (ie Nursing Home/Rehab) setting? (Required.)

Question Title

* 7. Have you previously worked at a NYC Health + Hospitals facility? (Required.)

Question Title

* 8. How many years of related experience do you have? (Required.)

Question Title

* 9. Are you able to work every other weekend? (Required.)

Question Title

* 10. To complete this registration request, please attach a copy of your resume. (Required.)

1. First and Last Name (Required.)

2. Email (Required.)

3. Phone Number (Required.)

4. Do you currently hold a New York State Nurse's Aide Certificate? (Required.)

5. If you do not hold a New York State Nurse's Aide Certificate but are pursuing CNA certification, please indicate when you estimate you will receive it. (Required.)

6. Are you willing to work in a Skilled Nursing Facility (ie Nursing Home/Rehab) setting? (Required.)

7. Have you previously worked at a NYC Health + Hospitals facility? (Required.)

8. How many years of related experience do you have? (Required.)

9. Are you able to work every other weekend? (Required.)

10. To complete this registration request, please attach a copy of your resume. (Required.)