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On Call Staffing Solutions - Medical & IT Staffing Agency

Healthcare Submittal Form

Healthcare Submittal Form

To submit Healthcare candidates to open orders, please complete and submit this form.

  • Candidate Submission Information

  • If none please input N/A
  • Do you need USA to provide a skills checklist to the candidate to complete?
  • Please Upload ALL of the Required Attachments Listed Below
    1) Resume and/or Application (Work History dating back at least 7 years)
    2) 2 Recent References
     - 2 References provided that are in the same specialty applying for
     - References cover 1 year or more of experience
    3) Copy of Certifications
    4) Copy of License
    5) License Verification
    6) Driver’s License or Government Issued ID
    7) Social Security Card / Number
    8) Skills Checklist - (If you have issued your own skills checklist service, please attach. If USA is providing the service, we will provide)

    (You may upload and/or drag and drop multiple files)
    Drop files here or