Registration: Shiftboard Training Environment

If you have not yet registered for access to our online scheduling system, please complete the following form.

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APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
Drivers License on File
 Yes  No
Fluent Languages
ASL (Sign Language)
Arabic
Chinese
Dutch
Farsi
Finnish
French
German
Greek
Hebrew
Hmong
Indian (Hindi/Urdu/Misc)
Italian
Japanese
Polish
Portugese
Russian
Spanish
Somali
Swedish
Tagalog
Thai
Vietnamese
Other
Professional License ID
Professional License State
Professional License Expiration
Professional License Ever Revoked?
 Yes  No
Highest Nursing Degree Earned
School Name
School Degree or Level



Thank you for your interest!
 
 
Seattle, Washington 98104
800-746-7531
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