Application Checklist
1. Print and fill out the adult/child abuse form 2. Read Neighborcare Harassment Policy, print and fill out signature page (Memory will sign the supervisor part) 3. Read Neighborcare Confidentiality Policy, print and fill out signature page (Company name: UW SOD) 4. Print and fill out Drug Free Workplace Statement 5. Print and fill out Neighborcare Health Immunization Record, print and attach your current immunization records 6. Print and fill out Signature Card 7. Print and fill out Clinical Rotation Schedule (end date: your graduation date should be fine) 8. Print and fill out Section C of the Washington State Patrol background check (no need to mail the form, turn in with the rest of the application) 9. Print and fill out Section I of the Credentialing Profile, check to boxes on the upper right to make sure you signed all appropriate forms Please turn the form into Memory's office in D319A. (currently the application takes 2-3 weeks to process). |
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