Academic Faculty / Program Affiliated

CRNA program faculty or hospital-academic appointment. Adds teaching credentials.

Required documents

Preferred documents

Context

academic

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Required (in sample 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

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