EXHIBIT 10.35

SUPPLEMENT TO PLEDGE AGREEMENT
------------------------------

SUPPLEMENT NO. 11 (this "SUPPLEMENT") dated
as of December 30, 2004, to the PLEDGE AGREEMENT
dated as of July 29, 1999, as subsequently amended
and restated, among CROSS COUNTRY HEALTHCARE, INC.
(f/k/a Cross Country, Inc.), a Delaware corporation
(the "BORROWER"), and CITICORP USA, INC.
("CITICORP"), as collateral agent (in such capacity,
the "COLLATERAL AGENT") for the Obligees (as defined
in the Credit Agreement referred to below).

A. Reference is made to (a) the Credit Agreement dated as of July 29,
1999, as amended and restated as of December 16, 1999, March 16, 2001 and June
5, 2003 (as amended, supplemented or otherwise modified from time to time, the
"CREDIT AGREEMENT"), among the Borrower, the Lenders (as defined in Article I
thereof), Citigroup Global Markets Inc., as sole bookrunner and joint lead
arranger, Wachovia Securities LLC, as joint lead arranger (together with
Citigroup Global Markets Inc., in such capacity, the "ARRANGERS"), Citicorp USA,
Inc., as issuing bank (in such capacity, the "ISSUING BANK"), as swingline
lender (in such capacity, the "SWINGLINE LENDER"), as administrative agent for
the Lenders (in such capacity, the "ADMINISTRATIVE AGENT") and as collateral
agent for the Lenders (in such capacity the "COLLATERAL AGENT"), Wachovia Bank,
National Association, as syndication agent (the "SYNDICATION AGENT"), and
General Electric Capital Corporation, Key Corporate Capital Inc., LaSalle Bank
N.A. and SunTrust Bank, as documentation agents (the "DOCUMENTATION AGENTS") and
(b) the form of Pledge Agreement annexed to the Credit Agreement as Exhibit I
(as amended, supplemented or otherwise modified from time to time, the "PLEDGE
AGREEMENT"), among the Guarantors and the Collateral Agent.

B. Capitalized terms used herein and not otherwise defined herein are
used with the meanings assigned to such terms in the Credit Agreement and the
Pledge Agreement.

C. The Pledgors have entered into the Pledge Agreement in order to
induce the Lenders to make Loans and the Issuing Bank to issue Letters of
Credit. Pursuant to Section 5.10 of the Credit Agreement, each Subsidiary (other
than a Foreign Subsidiary) that was not in existence or not a Subsidiary on the
Original Closing Date is required to enter into the Pledge Agreement as a
Subsidiary Pledgor upon becoming a Subsidiary if such Subsidiary owns or
possesses property of a type that would be considered Collateral under the
Pledge Agreement. Section 23 of the Pledge Agreement provides that such
Subsidiaries may become Subsidiary Pledgors under the Pledge Agreement by
execution and delivery of an instrument in the form of this Supplement. The
undersigned Subsidiary (the "NEW PLEDGOR") is executing this Supplement in
accordance with the requirements of the Credit Agreement to become a Subsidiary
Pledgor under the Pledge Agreement in order to induce the Lenders to make
additional Loans and the Issuing Bank to issue additional Letters of Credit and
as consideration for Loans previously made and Letters of Credit previously
issued.

Accordingly, the Collateral Agent and the New Pledgor agree as follows:

SECTION 1. In accordance with Section 23 of the Pledge Agreement, the
New Pledgor by its signature below becomes a Pledgor under the Pledge Agreement
with the same force and effect as if originally named therein as a Pledgor and
the New Pledgor hereby agrees (a) to all the terms and provisions of the Pledge
Agreement applicable to it as a Pledgor thereunder and (b) represents and
warrants that the representations and warranties made by it as a Pledgor
thereunder are true and correct on and as of the date hereof. In furtherance of
the foregoing, the New Pledgor, as security for the payment and performance in
full of the Obligations, does hereby create and grant to the Collateral Agent,
its successors and assigns, for the benefit of the Obligees, their successors
and assigns, a security interest in and lien on all of the New Pledgor's right,
title and interest in and to the Collateral of the New Pledgor. Each reference
to a "Subsidiary Pledgor" or a "Pledgor" in the Pledge Agreement shall be deemed
to include the New Pledgor. The Pledge Agreement is hereby incorporated herein
by reference. Schedule I attached hereto lists all of the issued and outstanding
equity and debt interests of the New Pledgor.

SECTION 2. Schedule II to the Pledge Agreement is hereby amended and
restated to read in its entirety as set forth in Annex A hereto.

SECTION 3. The New Pledgor represents and warrants to the Collateral
Agent and the other Obligees that this Supplement has been duly authorized,
executed and delivered by it and constitutes its legal, valid and binding
obligation, enforceable against it in accordance with its terms.

SECTION 4. This Supplement may be executed in counterparts, each of
which shall constitute an original, but all of which when taken together shall
constitute a single contract. This Supplement shall become effective when the
Collateral Agent shall have received counterparts of this Supplement that, when
taken together, bear the signatures of the New Pledgor and the Collateral Agent.
Delivery of an executed signature page to this Supplement by facsimile
transmission shall be as effective as delivery of a manually signed counterpart
of this Supplement.

SECTION 5. The New Pledgor hereby represents and warrants that set
forth on Schedule I attached hereto is a true and correct schedule of all its
Pledged Securities.

SECTION 6. Except as expressly supplemented hereby, the Pledge
Agreement shall remain in full force and effect.

SECTION 7. THIS SUPPLEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

SECTION 8. In case any one or more of the provisions contained in this
Supplement should be held invalid, illegal or unenforceable in any respect,
neither party

hereto shall be required to comply with such provision for so long as such
provision is held to be invalid, illegal or unenforceable, but the validity,
legality and enforceability of the remaining provisions contained herein and in
the Pledge Agreement shall not in any way be affected or impaired. The parties
hereto shall endeavor in good-faith negotiations to replace the invalid, illegal
or unenforceable provisions with valid provisions the economic effect of which
comes as close as possible to that of the invalid, illegal or unenforceable
provisions.

SECTION 9. All communications and notices hereunder shall be in writing
and given as provided in Section 14 of the Pledge Agreement. All communications
and notices hereunder to the New Pledgor shall be given to it in care of the
Borrower.

SECTION 10. The New Pledgor agrees to reimburse the Collateral Agent
for its reasonable out-of-pocket expenses in connection with this Supplement,
including the reasonable fees, other charges and disbursements of counsel for
the Collateral Agent.

IN WITNESS WHEREOF, the New Pledgor and the Collateral Agent have duly
executed this Supplement to the Pledge Agreement as of the day and year first
above written.

CROSS COUNTRY CAPITAL, INC.,
a Delaware corporation,

By /s/ Emil Hensel
------------------------------
Name: Emil Hensel
Title: Chairman

Address: Delaware Trust Capital
Management, Inc.
300 Delaware Ave., Suite 2016
Wilmington, DE 19801
Attn: Darryl Smith

CITICORP USA, INC., as Collateral Agent,

By /s/ Illegible
------------------------------
Name: Citicorp USA
Title: Collateral Agent

Schedule I to
Supplement No. 11
to the Pledge Agreement

Pledged Securities of the New Pledgor
-------------------------------------

EQUITY INTERESTS AND RIGHTS

Number of Registered Number and Percentage of
Issuer Certificate Owner Class of Shares Shares
------ ----------- ----- --------------- ------

Cross Country Capitol, Inc. 1 Cross Country 3,000 100%
Healthcare, Inc. shares of
Common Stock

DEBT SECURITIES

Principal
Issuer Amount Date of Note Maturity Date
------ ------ ------------ -------------

Cross Country $84,000,000 June 5, 2003 June 4, 2009
Nurses, Inc.

Annex A
Schedule II to the
Pledge Agreement

EQUITY INTERESTS AND RIGHTS

- ---------------------------------------------------------------------------------------------------------------
Pledgor Issuer No. of Registered No. and Class Percentage of
Certificate Owner of Shares Shares
- ---------------------------------------------------------------------------------------------------------------

Cross Country TVCM, Inc. 105 Cross Country 100 shares of 100%
Healthcare, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country CC Staffing, 2 Cross Country 100 shares of 100%
Healthcare, Inc. Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cejka & Company 4 Cross Country 100 shares of 100%
Healthcare, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cross Country C2 Cross Country 100 shares of 100%
Healthcare, Inc. Education, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country ClinForce, Inc. 4 Cross Country 10 shares of 100%
Healthcare, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cross Country C1 Cross Country 100 shares of 100%
Healthcare, Inc. TravCorps, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country NovaPro, Inc. 1 Cross Country 100 shares of 100%
Healthcare, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cross Country C1 Cross Country 100 shares of 100%
Healthcare, Inc. Consulting, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Assignment 1 Cross Country 100 shares of 100%
Healthcare, Inc. America, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country MedStaff, Inc., 2 Cross Country 100 shares of 100%
Healthcare, Inc. fka Cross Healthcare, Inc. Common Stock
Country Nurses,
Inc.
- ---------------------------------------------------------------------------------------------------------------

Annex A
Schedule II to the
Pledge Agreement

- ---------------------------------------------------------------------------------------------------------------

Cross Country
Healthcare, Inc. Cross Country C2 Cross Country 100 shares of 100%
Local, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cross Country 1 Cross Country 3,000 shares of 100%
Healthcare, Inc. Capital, Inc. Healthcare, Inc. Common Stock
- ---------------------------------------------------------------------------------------------------------------

DEBT SECURITIES

- ---------------------------------------------------------------------------------------------------------------
Pledgor Issuer Principal Amount Date of Note Maturity Date
- ---------------------------------------------------------------------------------------------------------------
Cross Country Cross Country $84,000,000 June 5, 2003 June 4, 2009
Capital, Inc. Nurses, Inc.
- ---------------------------------------------------------------------------------------------------------------