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APPLICATION
INFORMATION

Please complete the following forms and fax or email us a resume at:
Fax: 708-349-1590 or email:
info@promedstaffing.com
Please note the additional documentation needed to complete the application process for employment at ProMed Staffing, Inc.
- Completed application & resume
- Current License or Certification
- Current CPR (must be renewed annually for agency personnel per state law)
- Current Special Certifications (i.e. PALS, NRP, ACLS, etc…)
- Completed Skills Check List
- Completed Competency Exam
- Completed Physical
or Statement of Good Health (annually)
- Varicella,
Rubella, Rubeola History or Immunizations (some
facilities may require Titers)
- Hepatitis
B: Proof of Immunization or Titer or Signed Declination
- TB
Test Results (annually); if positive, must have
Chest X-Ray every 5 years & complete yearly TB questionnaire
- I-9
Documentation: Valid ID with Social Security Card,
Birth Certificate or Passport
- W-4
Documentation
- Signed Reference
Forms
- Negative Drug Screen
- State Background
Check
- Minimum One Year Experience
- Age Specific, OSHA, Infection Control and Fire Safety Competencies
- Other Forms: Paycheck Preference, Direct Deposit, Timecard
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