Academic Faculty / Program Affiliated
CRNA program faculty or hospital-academic appointment. Adds teaching credentials.
Required documents
20
Preferred documents
0
Context
academic
Required (in your demo packet)
NBCRNA CRNA Certification
Certifications
Active
BLS Provider (AHA)
Certifications
Expiring soon
ACLS Provider (AHA)
Certifications
Active
PALS Provider (AHA)
Certifications
Active
DEA Registration
Controlled Substance
Active
National Provider Identifier (NPI)
Personal Documents
Active
Curriculum Vitae (current, gap-explained)
Personal Documents
Expiring soon
Driver's license / Government photo ID
Personal Documents
Active
SSN card / verification
Personal Documents
Active
RN diploma / degree (BSN/ADN)
Education
Active
Nurse anesthesia program degree (MSN/DNP)
Education
Active
Malpractice insurance — current policy
Insurance
Active
TB screening (PPD or QuantiFERON)
Health & Immunizations
Active
MMR immunity (titer or vaccine record)
Health & Immunizations
Active
Varicella immunity
Health & Immunizations
Active
Hepatitis B immunity
Health & Immunizations
Active
Influenza vaccine (current season)
Health & Immunizations
Active
Drug screen (recent)
Health & Immunizations
Expiring soon
Criminal background check
Background & Fingerprints
Active
Professional references (3-5)
References
Active
Generate share link
Once your packet is green for this template, generate a 7-day share link for the recruiter / credentialer. Share-link generator wires up Day 4 (auth + Supabase Storage).