Registration: Dynamic Staffing

Please apply below, for more information contact us at our applicant helpline


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
Certifications
First Aid
CPR Certificate
Nursing Licence
Medical Licence
AANA Certification Expiration Date
Fluent Languages
ASL (Sign Language)
Arabic
Chinese (Mandarin/Cantoneese)
Farsi
French
German
Hebrew
Italian
Japanese
Portugese
Russian
Spanish
Other
Have you been tested for TB & Hepatitis?
 Yes  No
Drivers License Expiration Date
Medical Technology Skills
IMAP Certified
ACLS
MediPac
EPIC
Uniform Size

Emergency Contact Information
Emergency Contact
Emergency Contact Relationship
Emergency Phone



Thank you for your interest!


 
 
SEATTLE, Washington
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