Research Rn Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No Experience / Observed Only

2 Limited Experience / Rarely Done (<6 times/year)

3 May Need Some Review / Occasionally Done (1 - 2 times/month)

4 Experienced / Frequently Done (daily or weekly)

Please list any additional areas of expertise below:

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.

Research Rn Skills Checklist

Personal Information

Proficiency Scale & Legend

Age Of Patients Cared For

General Skills

Experience In Research

Experienced With

Please list any additional areas of expertise below: