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Pediatric RN Supervisor – One-on-One School Care
To submit your application, please complete these steps. Fields marked with a red asterisk (*) are required.

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Use your resume to fill in many of the fields on this application form.

Personal Information

How did you hear about us?

Additional Information

Can you provide these required healthcare professional credentials?  If so, please attach them individually below.  If you don’t have these current credentials you can still apply, but will need to provide them in order to continue our process.

  • Copy of License/Certification
  • Current Physician’s Statement (less than 6 months old) that includes the statement “Patient is free of communicable disease”, must be signed by a MD, PA, DO, or NP.
  • Current CPR certification (must be for Adult/Infant/Child)
  • Current 1-step PPD test (negative) or Chest Xray (2-step PPD tests are also accepted)

Attachments

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Employment History

Please provide your work history for the last 3 years. It is our policy to verify and reference the employment history of each candidate.

Please explain any gaps in employment. If no gaps please specify N/A in the field box below.

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Application Review

Application Verification

I attest that I am the applicant and the information provided in this application is complete and accurate, to the best of my knowledge.  Providing incomplete or inaccurate information may result in disqualification from the program, and may be a violation of state law(s) that could result in civil penalties.  Nurses and More is authorized to obtain information from my current and previous employers, and to release information in support of my application (application, references, background search results, etc.) to Nurses and More’s client institutions.  Nurses and More may also share information regarding my employment with its affiliates and appropriate governmental or licensing entities; and send me employment opportunity-related information at fax numbers or email addresses that I provide.  I understand that Nurses and More, certain states and/or Client institutions may require criminal background checks, and I consent to such checks.  Prior to conducting any background checks that qualify as consumer or investigative consumer reports, I will be provided, and will return, separate disclosure and acknowledgement forms as required by Nurses and More.  I agree, in consideration of your employing me, that I will not seek or accept employment, either directly or indirectly in any capacity from any clients of Nurses and More’s to whom I have been assigned, until I have sought and obtained written approval from branch management.  I also agree that I will not solicit these clients on my behalf, nor on the behalf of any future employer(s).

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.