Licensure and Certification Verification
- If you are licensed in Maryland, the nurse recruitment staff can verify this online. Please bring a photo ID to facilitate the verification process.
- If you are licensed in a compact state, please complete the multistate licensure form and bring your original license and photo ID.
- If you are not licensed in Maryland or a compact state, please refer to the Maryland Board of Nursing website for details on how to obtain a Maryland license.
Patient Care Disclosure
- Please be sure to fill out your name and the title of the job for which you are applying.
- You may leave dept/unit name blank. Please read section 1 and fill in anything that applies.
- If there is nothing applicable, please write “None” or “NA.” Please skip section 2.
- Be sure to sign and date the form



