Application Requirements

  • Application Package that includes background authorization form and two (2) reference check forms
  • Hepatitis B documentation (vaccination series of three, titer, booster or signed declination form)
  • Proof of immunity to Rubella
  • Clear copies of all current professional license
  • Clear copies of front and back of a current American Heart Association Provider BLS Card
  • Clear copies of front and back of a current American Heart Association Provider ACLS and PALS if applicable
  • Current TB Skin Test or Chest X-Ray within one year
  • IV Therapy Certificate or transcript showing the course for LPN’s
  • Clear copy of your valid driver’s license
  • Clear copy of your social security card
  • I-9 form; W-4 form; L-4 form, for Louisiana residents
  • A picture of you in jpg format to make your badge