Below is a complete list of our application forms available to our clients to print and use as a guide when completing the application packet. Please give us a call at 484-380-2080 or toll free at 877-456-3579 with any questions.
Print and use as a guide when completing your packet) 1. Please include the following information in your packet:
Photograph: Original, recent Polaroid or passport photo. If you are coming in for an interview, we can take a photograph for you.
Diploma/Degree: Copies of diploma and/or degree(s). If you do not have, or cannot get copies of, your diploma/degree(s), please complete the “Educational Statement” .
Professional License(s): Copies of ALL current professional licenses and any license you have held in the past 5 to 10 years.
CPR Certification: Must be American Heart Association Course C or American Red Cross Certification for the Healthcare Professional.
ACLS Certification: Required for ER,ICU, Tele and PACU nurses. If you do not have current ACLS certification, it must be obtained prior to your start date. We will need a note stating the date, time and location of your course.
PALS Certification: Required for Maternal Child and Labor and Delivery departments. Preferred in ER.
NRP Certification:Required for Maternal Child and Labor and Delivery departments. Preferred in ER.
Proof of US Citizenship: Acceptable forms of ID include copy of unexpired US passport, birth certificate, or Alien Registration card, state driver’s license and SSN card.
Professional Certifications: i.e. CEN, CCRN, TNCC
2. Applicants must complete all the following forms, which have been provided for you on this web site. Please click on the titles below:
I-9: Required for proof of US Citizenship. It is required for all applicants.
Physical: Evidence of physical within thirty days of hire which includes PPD, Varicella, MMR for persons born 1957 or later, and hepatitis-B vaccination. If you have not had Hepatitis-B vaccination and do not wish to get it, please complete a Hepatitis-B Vaccination Waiver.
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