Get Nursing Application - Exclusive Staffing Agency

Completing the nursing application for the Exclusive Staffing Agency online is a crucial step in joining their healthcare team. This guide provides clear, step-by-step instructions for filling out the application efficiently and effectively.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Fill in your personal data including your first name, last name, middle initial, social security number, phone numbers, email, and address. Be sure to provide the best time for a contact call.
3. Provide the name and phone number of an emergency contact for additional information.
4. Select the position you are applying for by checking the appropriate box, which includes options such as RN, NP, LVN/LPN, and more.
5. Check the skills and work experience boxes for areas where you have at least one year of clinical experience.
6. Indicate your ability to perform essential job functions, including lifting and assisting patients, by selecting 'Yes' or 'No'. If accommodations are needed, provide further details.
7. Express the type of work desired by checking all relevant options such as clinic, hospital, rehab, and private duty.
8. List any additional languages spoken besides English.
9. Indicate the type of assignment you are available for by checking your preferences.
10. Mark the days of the week you are available to work and specify your preferred shift times.
11. Answer questions regarding your age, driver's license status, vehicle access, and insurance.
12. Detail your education and training by listing all attended schools, starting with high school.
13. Enter your licenses and certifications, including type, number, and expiration date.
14. Respond to questions regarding your legal eligibility to work, any felony or misdemeanor convictions, and how you were referred.
15. Provide references by listing three individuals who can evaluate your performance.
16. Fill in your work experience by detailing past employer information, including job titles and dates employed.
17. Read and acknowledge the applicant acknowledgment section, which certifies the accuracy of your provided information.
18. Conclude by signing and dating the application form to finalize your submission.
19. Upon completion, save your changes, and choose to download, print, or share the form as needed.

Start your application process now by completing your Nursing Application online.