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Skills Checklist
Assess Your Skills & Advance Your Career
Assess Your Skills & Advance Your Career
Full Name
*
Email Address
*
Last 4 of SSN
This checklist will be electronically signed on:
Instructions:
This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1
No Experience
2
Need Training
3
With Supervision
4
Independently
5
Expert / Trainer
I hereby certify that
ALL
information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
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