As a Shore Staffing employee, you must complete a variety of forms that are important for your nursing assignments. For your convenience, download and print the forms listed below and either fax or mail back to us. Our fax number is 410-957-3447.
You will find the online application and a variety of skills checklists. Please complete the appropriate forms on this list which apply to your experience. Please fax them to us or bring with you on your interview. All employees must complete the following:
Our application
Proof of eligibility to work in the US (I-9)
W-4
Hipaa & background check form
Medical Requirements
- Physical within the last 12 months (updated annually)
- Hepatitis B documentation (vaccination series of three titer, booster orsigned declination)
- TB screen current within 12 months or chest X-ray within 2 years
- Proof of immunity to Rubeola, Rubella, and Mumps (positive titer or 1 official, physican signed MMR)
- Proof of immunity to Varicella (positive titer or varivax inoculation)
- Tetanus within 10 years or signed declination
Copies of current CPR (front & back) and other certifications
State licensure
Direct Deposit information (documentation found on our HIPAA form)
For those working in DE: adult & child abuse registry