Healing Hearts and Hands Staffing, LLC
LICENSED PRACTICAL NURSE APPLICATION
Phone: (860) 997 9077 E-mail: Care@healingheartsandhands.com
PROFESSIONAL INFORMATION
Please Submit the Following Documents:
1. Completed Application
2. State-issued Certificate Copy
3. Scanned copies:
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Driver’s License (State-issued)
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Social Security Card
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ACLS, BCLS, NALS, NRP, PALS, (as applicable)
4. CPR Course. Front and back sides of your current card is required as proof of completion.
5. Reports:
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Chest X-Ray (Within 5 Years) reports
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Tuberculosis (Current) reports.
6. EIN Information
7. Current CPR
8. Fingerprint Background Check Letter