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  • Applicant Document Submissions

  • Welcome!

    Thank you for applying with Abundant Life Home Health Agency. With our Fast-Track hiring program, you can start work sooner. In this step, you will upload all the required documents to start work with our agency.

    We require the following documents:

    • Driver's License
    • Social Security Card
    • Proof of Auto Insurance
    • ActiveFlorida Nursing / CNA License
    • CPR Card
    • Most Recent CEU/ Transcript
    • Photo of Yourself
    • TB Test / Chest X-Ray Report 
    • Physical Exam Report 

    If you do not have one or more documents, please let us know why, and when you can submit them in the comment boxes provided. Remember, all documents must be in before you can start work.

     If you need help, call our office at 727-286-8916 Monday- Friday 09:00 am – 5:00 pm

     

    Thanks,

    Abundant Life Team

     

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  • Applicant Document Submissions

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  • Driver Licence

    Step 1 of 10
    Driver Licence
  • Please upload a copy/photo of your state issued driver license.

    *If you are using a mobile device, tap choose file, and capture a photo.

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  • Social Security Card

    Social Security Card

    Step 2 of 10
  • Please upload a copy/photo of your social security card.

    *If you are using a mobile device, tap choose file, and capture a photo.

    Need a social security card replacement? Click the link below

    https://www.ssa.gov/ssnumber/

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  • Proof of Auto Insurance

    Proof of Auto Insurance

    Step 3 of 10
  • Please upload a copy/photo of your proof of auto insurance. This can be your insurance card.

    *If you are using a mobile device, tap choose file, and capture a photo.

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  • Active Florida Nursing License/CNA Licence

    Active Florida Nursing License/CNA Licence

    Page 4 of 10
  • Please upload a copy of your active Florida License (RN/LPN/CNA)

    *If you are using a mobile device, tap choose file, and capture a photo

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  • CPR Card

    Step 5 of 10
    CPR Card
  • Please upload your current CPR Card. We require BLS for Healthcare provider.

    *If you are using a mobile device, tap choose file, and capture a photo.

    Don’t have a CPR Card? Get yours today*

     http://www.procpr.org/en/

    https://www.nationalcprfoundation.com/

    http://www.icpri.com//

    *The links provided are for informational purposes only. We have no affiliations with these providers. You may use any provider you choose.

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  • Most Recent CEUs or Transcript

    Most Recent CEUs or Transcript

    Page 6 of 10
  • Please upload your most recent CEU certificates, or CEU Transcript.

    *If you are using a mobile device, tap choose file, and capture a photo.

     

    You can also easily obtain your Transcript from CEU Broker.

    If you want to access your transcripts from CEU broker:

    • Log on to CEbroker.com
    • Click on "log in".
    • If you already have an account: enter username/password
    • If you do not currently have an account, click “Create account” (you do not have to pay for the professional account- create a free account and you will have access to the information)
    • Click on "my records" tab at the top of the page. This is a drop down menu. Click on "course history".
    • Right click on page and select print. Save as PDF. Upload in the space below
  • If you have multiple documents upload them here 

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  • Photo of Yourself

    Step 7 of 10
    Photo of Yourself
  • Please upload a photo of yourself. This should be from shoulders up, in front of a plain background (like a wall), preferably in a scrub top.

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  • TB Test Result / Chest X ray report

    TB Test Result / Chest X ray report

    Step 8 of 10
  • TB Test Result (Less than 1 year old) / Chest X ray report (Less than 5 years old)

    See our form here: Employee Medical Form

    Need a TB test? Click one of the links below to schedule one.*

    http://www.cvs.com/minuteclinic/

    hhttp://www.lakesideoccmed.com/ 

    https://www.medexpress.com/

    Please let us know that you’re scheduling your TB test in the comment box below

    *The links provided are for informational purposes only. We have no affiliations with these providers. You may use any provider you choose.

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  • Physical Exam Report

    Step 9 of 10
    Physical Exam Report
  • Please upload a copy/photo of a physical exam (less than 1 year old)

    The report must include a statement that you are free from communicable disease, and any health impairment that it a potential risk to the patient, or may interfere with the performance of your duties.

    See our form here: Employee Medical Form

    Don’t have a physical? Click one of the links below to schedule one. *

    http://www.cvs.com/minuteclinic/

    hhttp://www.lakesideoccmed.com/ 

    https://www.medexpress.com/

    Please let us know that you’re scheduling your Physical in the comment box below.

    *The links provided are for informational purposes only. We have no affiliations with these providers. You may use any provider you choose.

     

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  • Other Miscellaneous Documents

    Other Miscellaneous Documents

    Step 10 of 10
  • Please use this page to upload any other miscellaneous documents that you would like to submit to us.

    *If you are using a mobile device, tap choose file, and capture a photo.

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