Quality Healthcare Staffing US Online Application
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Section 1: Personal Information
Full Name
*
Email Address
*
Phone Number
*
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Section 2: Required Documents
Application Form. Download form below here fill it and upload below
Complete Application Form. Download form below here(https://drive.google.com/file/d/1zZpgEapx7e1VAwSZ-M2mZPlkGEva5_Eg/view?usp=sharing)
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W-4 Form Download form below, fill it and upload below
Completed W-4 Form Download form below here (https://drive.google.com/file/d/1RAVyBHr4SbkxR8dVHzgs2WJYG-EqRa1j/view?usp=sharing)
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Nurse License or CNA Certificate
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Resume
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Criminal Background Process
Criminal Background Clearance (Delaware)You can obtain it (https://drive.google.com/file/d/1gEQ7kH9ilkvpXK-rqw3gOMM9D7ksVoU9/view?usp=sharing)
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US Passport /Green Card
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Social Security Card
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Driver’s License
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Professional References (2 professional ; 1 personal)
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PPD Results (2-Step TB Test)
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CPR Certification
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Flu Shot Record or Medical Exemption
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Physical Exam Documentation
Physical Exam Documentation Download the form below (https://drive.google.com/file/d/1zG0b0fbKhBReNfzK-fa0Cy4nz1tBhRIm/view?usp=sharing)
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Immunization Records (Hep B, MMRV, TDAP)
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COVID-19 Vaccination Card or Medical Exemption
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