WPCp^ 9`ԍs:Nh,XF(P23a 펤?CRcGQB$WʸW2J/k6Z^Xkc4.m\+PkZGF5ழ~.=x&Og=9B(Ơ@q{$+n'Nc}< N/oͪ=}Ӝ|U(˚uNoKݺviJ74jqB 1_-Eiۧn=iXSpY[3/& ʼn0= Op;_ӷ_Qoe7`zJrL7'5X5F3!Qߊ$tʒ^KJKɞ{m UmaDй1IcSV&2 gr"ʄD`?-`eU"\ YP ¬;K׭rKS# UN % 0(@(o9pj?9U>Ww@W4!X5XU:DX~XU$NXU:XU:YfHYaJYf^Ya`Y=tY 0DY-Y hK"Z h^mZmZmZmZmZmZmZ 0DZ D3[ B B[ D+_[ 0K[[[[[[[ i.\ D3\ B*\\\\\\\\\\\\\\\\\ C&]&]&]&]&]&] iM@] i,] C]]]]]]]]]]]] A]HP DeskJet 870C Serie (Copy 3)HPRDJC030(,,,,0(0nL((9 Z 6Times New Roman RegularX($C:\NURSE'SH.WMFWPC @6 @6,5191 `+\/\/1 `!Ew_(J`   *!!"j""#j##a#2#$:$\$R}$ $ $~!$." %"0%y#V%$}%$%9%%%%&%&6i%5$5^$5#^53#;5"5!4?!4 44s4TT46443'3U3`r3a3[2Ud2R1X1k 1 0/&[/.=--%,+$+ *1 `"Cw)*+,L-=..S D/ / N00-111?222g2G%3-M3w333 3!"4I"I4"o4#4%$4$4$4%40%40%&%&$&$&$o&#Q&"1&4" &m!% %%e%:%%$$F$r$yQ$u$k#aK#\"_v"p ! u! '> =+w1 `#8'#.'#/8#.W#.#.#n.#0.I$-$-$H-b%,%,?&%,&+0'L+'*.(f*()*', &.v$0#:1!>2 3$ 3{?4447 5$5+5(555u5k5b5Z4K4E4?4:454.4,4*4)4)s4 4}321Y0 /.Rm-,|* E)'$`#d q|i#<j\ZX:[%bmm prv$TrP! =q  9C) !4z""'#B'#%~# ###"#,#=3$V$x$t%&#&w'(N/*+mS-.X01U2`3 44?4^L5u5555555~ v5a v5. 4431_0.wP-+Y1*(RZ'$&!%7\$########## ##.#E#a{#\#6# #4"A"!J!  . &RV ' e ^  |  jN4O,[u{O5%(Dzn6AS0\!'#=%3-'(d*',b-.1/01x2F3p33/4T4433S3u2"2d1G 0!/!."-#,$+%*&)'(s((A)'-*#&*f%+$#,G$,#,#'-Q#V-&#w- #-"-"-"-"-#- #-'#.7 DwA}~ttnjk^hBhBPm,SF^uDWjq'"w$u & (a!*!,""X. `$b"u.!. .//G 090211q2R 3E3o %4 4 4 85 Z5 [5 ]5 a5m g5W n5? t5 5555555|5y56666 6& }6F s6f i6 ^6 S6 H6 ?6 66 .6% (6- %6, $6m 6 5 5\ u5R -5j44&4E3^3!22*2t1h1$1!/f!/!/ "o/O"]/"M/"?/"2/"%/#/$# /1#/:#.?#.A#.B#.C#.B#.A#.@#.>#.<#.:#.7#.5#.2#{./#r.-#l.+#e.)#_.(#[.'#X.'#X.1 `%2"##3i$y%&,(%)X+S,.z001x2 4, 4a v5 W5A 5? 4 n43}32e21A10+0/?=/ .!.""u.!,a! + )u &$qM"juuS}dP1 `&vs @xASq7#j& dvvw (  I y   NA   q ! )% (( * m-z / 1n 35@7^82:;<=y)?\P@@@@@%P@%?%e?w%>M%>!%>$=$4=$%>%A=%F %N$Z$i$~$$$$ $>$z$b$ %$d#v"!  !6 ( n  nf N_,q !5$\&.b(`G* ,-YD/0>2c3G45f67 8!9!H:!:+";f"l;";"!<#z<8#$>6$?[$l?}$?$?'? >"h==4<\:9@86)&5xg31Ep/ .-X * ( % ! |   y( @}  ZwQ   ZF2Xx2UMY! blzwswX!1 `(B%0$#~!e $  7\ED!*%"(*VI-/r1#m3&56=8Z9,;Z<=b ? m@u!m@a#?"=N"Z `)79k9w9;|V;R%=s%=Ms;es;997z771 `*4":.w44Ht)Œ 14&NF"6S / ^_W~\džx>\[Wx - NHC- $CH [$R# j-) DWPWin 6.0/OLE 1.0 Prefix Information MarkerWPDraw30.Drawing.ࡱ>   Root Entry`.@pv Ole 9WPG20CompObjj)F! WPWin61[0] `.@pWP Draw 3.0 Drawing Embed SourceWPDraw30.Drawing9q_9pWPC @6 @6,5191 `+\/\/1 `!Ew_(J`   *!!"j""#j##a#2#$:$\$R}$ $ $~!$." %"0%y#V%$}%$%9%%%%&%&6i%5$5^$5#^53#;5"5!4?!4 44s4TT46443'3U3`r3a3[2Ud2R1X1k 1 0/&[/.=--%,+$+ *1 `"Cw)*+,L-=..S D/ / N00-111?222g2G%3-M3w333 3!"4I"I4"o4#4%$4$4$4%40%40%&%&$&$&$o&#Q&"1&4" &m!% %%e%:%%$$F$r$yQ$u$k#aK#\"_v"p ! u! '> =+w1 `#8'#.'#/8#.W#.#.#n.#0.I$-$-$H-b%,%,?&%,&+0'L+'*.(f*()*', &.v$0#:1!>2 3$ 3{?4447 5$5+5(555u5k5b5Z4K4E4?4:454.4,4*4)4)s4 4}321Y0 /.Rm-,|* E)'$`#d q|i#<j\ZX:[%bmm prv$TrP! =q  9C) !4z""'#B'#%~# ###"#,#=3$V$x$t%&#&w'(N/*+mS-.X01U2`3 44?4^L5u5555555~ v5a v5. 4431_0.wP-+Y1*(RZ'$&!%7\$########## ##.#E#a{#\#6# #4"A"!J!  . &RV ' e ^  |  jN4O,[u{O5%(Dzn6AS0\!'#=%3-'(d*',b-.1/01x2F3p33/4T4433S3u2"2d1G 0!/!."-#,$+%*&)'(s((A)'-*#&*f%+$#,G$,#,#'-Q#V-&#w- #-"-"-"-"-#- #-'#.7 DwA}~ttnjk^hBhBPm,SF^uDWjq'"w$u & (a!*!,""X. `$b"u.!. .//G 090211q2R 3E3o %4 4 4 85 Z5 [5 ]5 a5m g5W n5? t5 5555555|5y56666 6& }6F s6f i6 ^6 S6 H6 ?6 66 .6% (6- %6, $6m 6 5 5\ u5R -5j44&4E3^3!22*2t1h1$1!/f!/!/ "o/O"]/"M/"?/"2/"%/#/$# /1#/:#.?#.A#.B#.C#.B#.A#.@#.>#.<#.:#.7#.5#.2#{./#r.-#l.+#e.)#_.(#[.'#X.'#X.1 `%2"##3i$y%&,(%)X+S,.z001x2 4, 4a v5 W5A 5? 4 n43}32e21A10+0/?=/ .!.""u.!,a! + )u &$qM"juuS}dP1 `&vs @xASq7#j& dvvw (  I y   NA   q ! )% (( * m-z / 1n 35@7^82:;<=y)?\P@@@@@%P@%?%e?w%>M%>!%>$=$4=$%>%A=%F %N$Z$i$~$$$$ $>$z$b$ %$d#v"!  !6 ( n  nf N_,q !5$\&.b(`G* ,-YD/0>2c3G45f67 8!9!H:!:+";f"l;";"!<#z<8#$>6$?[$l?}$?$?'? >"h==4<\:9@86)&5xg31Ep/ .-X * ( % ! |   y( @}  ZwQ   ZF2Xx2UMY! blzwswX!1 `(B%0$#~!e $  7\ED!*%"(*VI-/r1#m3&56=8Z9,;Z<=b ? m@u!m@a#?"=N"Z `)79k9w9;|V;R%=s%=Ms;es;997z771 `*4":.w44Ht)Œ 14&NF"6S / ^_W~\džx>\[Wx - NHC- $CH [$R# j-) DBOlePartOlePres000 Z jv  Z  q& - !bZe- "--$F>).BZu#Ks%6~F{Vxfvvspmkheb_[XUU "%'*q,a/R1A416 8:AHOlVC_hq|hK2 :> "----$D-AYt"xJosg`YSM%J7GJD\@o=:630-*(&$##GGHIKNPSVZ~]laYdGg5k#npw}mChK2  !7:----v$9 !+5c.St "*/3455443321100/. - , , + &   '/7{@_IAS#\pzV(~vpljhgffeeddccccbbbbbd_SC.nP1oXE6-*#     !~"y$r'j+_/R5B;/CMWdpzhSB5*!#4JcymbWM8DQ<f6v21110111123467:<?CKS\fp{ &3@L ez0>KU]ciloqrrrrtz1NkrhZM;B]7|-%  !$ntZ`FL49"(UEDCBA@??>==<;:977./38?GPYY.cnxtE----$c}]7 {obUWI-=3)" $4+O2k:BKS[ck5r----j$3*+06u>_HER(^jvfK5#%-69@`KVbny/StBqxncY+PUG|?83/.*----$wAIQYaiq y &,3:Pi%35?_JT\ciGmxopo+kcf_VK?>2`# %%WY\_bfjnrv{ydP:" vS-"#y"He<u]HuAn;g6`1Y,R(K$D =70)" A----$uW^dhjlmmmmnn"p'r-u3z:Pi5_!(.G2x4542/.V(z")AWm|yvsp tV5!.:DM_T(Y\]y\HZVQJBe8<-!u]HA;61,($ yrkd]VOHAW----$C U s(>Z|$72HiWcm#ufyzy*talaUG85'UttU5 .:aE*LQSfR#MF<i02!|Z>(h K - U---- $izf,XAmiiziz----$+e,++-- METAFILEPICT Z jv  Z  q& - !bZe- "--$F>).BZu#Ks%6~F{Vxfvvspmkheb_[XUU "%'*q,a/R1A416 8:AHOlVC_hq|hK2 :> "----$D-AYt"xJosg`YSM%J7GJD\@o=:630-*(&$##GGHIKNPSVZ~]laYdGg5k#npw}mChK2  !7:----v$9 !+5c.St "*/3455443321100/. - , , + &   '/7{@_IAS#\pzV(~vpljhgffeeddccccbbbbbd_SC.nP1oXE6-*#     !~"y$r'j+_/R5B;/CMWdpzhSB5*!#4JcymbWM8DQ<f6v21110111123467:<?CKS\fp{ &3@L ez0>KU]ciloqrrrrtz1NkrhZM;B]7|-%  !$ntZ`FL49"(UEDCBA@??>==<;:977./38?GPYY.cnxtE----$c}]7 {obUWI-=3)" $4+O2k:BKS[ck5r----j$3*+06u>_HER(^jvfK5#%-69@`KVbny/StBqxncY+PUG|?83/.*----$wAIQYaiq y &,3:Pi%35?_JT\ciGmxopo+kcf_VK?>2`# %%WY\_bfjnrv{ydP:" vS-"#y"He<u]HuAn;g6`1Y,R(K$D =70)" A----$uW^dhjlmmmmnn"p'r-u3z:Pi5_!(.G2x4542/.V(z")AWm|yvsp tV5!.:DM_T(Y\]y\HZVQJBe8<-!u]HA;61,($ yrkd]VOHAW----$C U s(>Z|$72HiWcm#ufyzy*talaUG85'UttU5 .:aE*LQSfR#MF<i02!|Z>(h K - U---- $izf,XAmiiziz----$+e,++--|Z&Chaucer Regular EE{e"gx(3|x",cAZ"Arial Regular)^S Z 6Times New Roman Regular,`AZ"Arial Regular,`AZ"Arial RegularTABLE ATABLE B 3 )  WebApplication/March2000(3$ !   ##Xd#TABLE ATABLE B(3$ !  """"'dxd d'dxd( $ Figure  1  Level 1Level 2Level 3Level 4Level 5,"-$----'dxd&0 d d d!">C;8,"F"d% $# I&mage <=8C HKKKK !  XX""mR9)%`|0 `Q@*EHi{m (#(# f (#f (#@   XX `     P6   `ProfessionalResourcesforNurses,Inc# `   P6\#. X  f (#f (# f (#f (#   r  ` rEmployeeApplication#rW## ` r5# P6   r  `#ٰ#  H  f (#f (# f (#f (# C r (#(#f (#f (##    C#XfX  Name__________________________________________________________________ H    ` (Last)    h (First)     p (MI) 4 CurrentAddress__________________________________________________________   ` (Number)(Street)(Apt.)(City)(State)(Zip)Phone()________Cell()________Emailaddress________________________Besttimetocall_______________SocialSecurityNumber___________________EmergencyContactName&PhoneNumber____________________________________#  XXf# C   #    C#z    IFYOUANSWER YESTOANYOFTHEFOLLOWINGQUESTIONS,PLEASEDESCRIBETHE   INCIDENTONASEPARATEPIECEOFPAPER #   z# C   #    C#XfX  Hasyoulicenseeverbeenunderinvestigation?_______Yes_______No <  Haveyoueverbeenconvictedofafelony?_______Yes_______No#  XXf# C    #    C#z   LICENSUREINFORMATION(PLEASEENCLOSEPHOTOCOPIESOFYOUNURSINGLICENSE(S))#   z: # C     h *}"+ddd Xdd Xdd X(#(#},dd ,dd +   ,  STATE +!8"- + EXPDATE 0&$8"  - 0  $   $   \   \   D  D  #    C #z    EDUCATIONINFORMATION(PLESEPLEASEBEGINWITHLASTCOLLEGEANDDEGREEATAINEDATTAINED l ANDINCLUDEANYHEALTHRELATEDVOCATIONALTRAINING*l"+dddd dd "(#(#l,dd ,dd ,dd +    YEARGRAD +!"- +NAME&ADDRESSOFCOLLEGE/UNIVERSITY +!X "- +DEGREE 0&$X!"  - 0  t"   t#   t$   t%   t&   t'   $!(   $!)   $!*   |"$ +   |"$ ,  |"$ -   #   z #XfX  PleaselistanyareasinwhichyouhavecurrentANAcertification:_________________________ 4$!. _____________________________________________________________________________Areasofspecialty1._____________________________________________   ` 2._____________________________________________CPRExpirationdate__________________(Pleasesendcopyofcardorroster)  *P(5 Ѐ 00-; 7fXXdXXd7  XfXXXf#XfXXXf0##  XXf#XfX   XfXXXfEMPLOYMENTPROFILE PLEASELISTYOUREMPLOYERSBYTHEMOSTCURRENTEMPLOYERFIRST  #XfXXXf#XfXXXfNameofemployer______________________________________________________________  Address____________________________City___________State_________Zip__________DateofHire_________to_____________Jobtitle_________________________Nameofsupervisor__________________________Title______________________________Descriptionofwork___________________________________________________________________________________________________________________________________________Reasonforleaving____________________________________________________________________________________________________________________________________________******************************************************************************#XfXXXfc##  XXf#XfX      Ѐ XfXXXfNameofemployer______________________________________________________________   Address____________________________City___________State_________Zip__________DateofHire_________to_____________Jobtitle_________________________Nameofsupervisor__________________________Title______________________________Descriptionofwork___________________________________________________________________________________________________________________________________________Reasonforleaving____________________________________________________________________________________________________________________________________________******************************************************************************#XfXXXf##  XXf#XfX    XL Ѐ XfXXXfNameofemployer______________________________________________________________ H< Address____________________________City___________State_________Zip__________DateofHire_________to_____________Jobtitle_________________________Nameofsupervisor__________________________Title______________________________Descriptionofwork___________________________________________________________________________________________________________________________________________Reasonforleaving____________________________________________________________________________________________________________________________________________******************************************************************************#XfXXXfv##  XXf:#XfX       Icertifythatthefactscontainedinthisapplicationaretrueandcompletetothebetofmy !  knowledgeandunderstandthatifemployed,falsifiedstatementsonthisapplicationshaalshallbegroundsfordismissal.Iauthorizeinvestigationofallstatementscontainedhereinandthefrferencesreferencesandemployerslistedabovetogiveyouanyandallinformationconcerningmypreviousemploymentandpertinentinformationconcerningtheymayhave,personalorotherwiseandreleasethecompanyfromallliabilityforanydamagethatmayresultfromutilizationfoofsuchinformation.Signauture_______________________________________Date_________________________ 򀀀 )%) Ѐ#  XXf# +p