Online Forms

Once you’ve completed your application, the next step is to complete your specialty-specific skills checklist. Required by hospital hiring managers, this self-assessment form provides us with an overview of your experience and proficiencies, and is a valuable tool in helping us match you to your ideal assignment.

The information you provide will be disclosed to our client healthcare facilities only after we receive your consent for each job opportunity.

Skills Checklists

Select youSelect your checklist from the list below, enter the necessary information and then submit to us via email  hr@inanursing.com or fax it to (877) 432-9462. If your specialty is not listed below, or if you require further information, please call us at (888) 411-4462.

Skills Checklist
Dialysis RN Emergency Room (ER) Intensive Care (ICU) Labor & Delivery (LD) Medical/ Surgical Operating Room (OR) Recovery Room/ PACU Pediatrics Psychiatry Surgical Technologist Telemetry

NOTE: Please sign your form by typing your First Name, Middle Initial and Last Name in the signature field.

You'll need the latest Version of Adobe Reader in order to complete the application online. Here is a link to the free download.  

Time Card -For Employees, Use this form to input your time. Submit by noon Monday wkly

Employment Eligibility Verification  - I-9 form used to verify eligibility of employment in USA

Income Tax  - W-4 form used to withold the correct federal income tax from your pay.

Direct Deposit  - For Employees, Complete the following form to recieve direct deposit.