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Click ‘Get Form’ to open the excelsior verification document in the editor.
Begin by filling out your personal information in the 'Applicant/Student Information' section. Include your name, address, email, and phone number.
In the 'Applicant/Student Work Experience' section, provide details about your current position, including the title and organization name. Fill in the organization's address as well.
Indicate the hours worked in a nursing-related role within the past year and select your credential type (LPN/LVN, Paramedic, or Military).
Describe your direct, hands-on patient care responsibilities clearly to ensure accurate verification.
Finally, sign and date the form along with your supervisor's signature. Ensure that all information is accurate to avoid any issues during processing.
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