AB STAFFING SOLUTIONS LLC

Complete a Job Application

Completing the online form below will allow our Recruiters to proactively find you a job. When we receive an opening from one of our Clients we will be able to identify the positions you qualify for and inform you of these opportunities.

AB STAFFING, makes applying for an exciting position easy. You can apply online, via regular mail, or over the phone, - the choice is yours and we’re here to help you! Once you Register you may return an easily update your profile and search for jobs.

Please fill out the form below. All Fields marked with an ^* are
required. Please enter all dates as follows (mm/dd/yyyy)

Name:^*

Email Address:^*

Password:^*

Password confirmation:^*

Phone Number:^* Alternate Phone Number:

Street Adress:^*

City:^*

State:^*

Zip Code:^*

Clinical Area:^* Years Experience:^* Add Another Clinical Area

Shift Preference:^* Morning Afternoon Night

Have you ever worked as a traveler?:^* Yes No

Did you successfully complete travel assignment?:^* Yes No

Are you currently speaking with an ABSS Recruiter?:^* Yes No Recruiter Name:

Allowed: jpg, gif, bmp, pdf, png, doc, docx, xls, xlsx, ppt, pptx, mp3, mp4, avi, midi. Max 5 MB
If you attach your resume you don’t need to fill in the information below. If you have copies of your licensure, certifications, immunizations, PPD, etc. you may attach them below. Once your files are uploaded hit submit at the bottom of the page and begin your job search!

Resume

Licenses and Certifications: (attach copies of all certifications to this form)

License/Certifications Type:^* License/Certification No.^* State:^* Expiration Date:^*

Add Another Certification

Allowed: jpg, gif, bmp, pdf, png, doc, docx, xls, xlsx, ppt, pptx, mp3, mp4, avi, midi. Max 5 MB

License/Cert. file

If you have uploaded your resume or files you can skip down to the bottom of the page and hit submit.

Compact License

Please fill in the expiration date (mm/dd/yyyy) if you are certified in any of the following:

BCLS TNCC Computerized charting system From: To:

ACLS NRP Medication administration system From: To:

PALS Other Has your professional license or certification ever been investigated or suspended?

NALS If yes, which license(s) or certification(s):

Education

Education School Name:^* City:^* State:^* Date Graduated:^* Degree/Cert.^*

Add Additional Education

Previous Employment 1:

From Date: To Date: May we contact this Facility/Employer?

Facility/Employer Information

Address:

Employer Name:

City: State: Zip: Phone:

Name of Supervisor/Title:

Reason for
leaving:

Hourly Rate $

Yearly Salary $

Teaching Hospital:

Position/Describe
Duties and
Specialty
Areas/Units:

Traveler Company:

Do you have charge experience?

If yes, how often?

Are your employment records listed under another name? Do you have Supervisory experience?

Number of Beds in Hospital:

Number of Beds in Unit:

Nurse to Patient Ration:

Add Another Previous Employer