Clear copies of all current nursing licenses and professional certifications

Copy of front and back of a current American Heart Association Provider BLS or ACLS

Copies of additional Credentials ie. CCRN, ENPC, NRP, PALS, TNCC

Copy of a social security card and driver’s license or passport

Application  Completed and Checklist

Current physical or physician’s statement

Hepatitis B documentation (vaccination series of three, titer, booster or signed declination)

TB screen within 12 months or chest x-ray current within two years

Proof of immunity to Rubeola, Rubella and Mumps (positive titer or one official physician-signed MMR)

Tetanus within 10 years, or signed declination