Healthcare Staffing Agency Application Form

Finding the right healthcare staffing opportunities shouldn't mean juggling endless paperwork and lengthy email chains. This Healthcare Staffing Agency Application Form template streamlines your entire provider onboarding process—from initial intake to credentialing verification—so you can place qualified healthcare professionals faster and more efficiently.

Built specifically for healthcare staffing agencies, this template captures everything you need in one professional, on-brand form: provider type and credentials, specialty areas (including high-demand shortage specialties), placement preferences (travel vs. local assignments), per diem availability, guaranteed hours program interest, and detailed credentialing documentation. Conditional logic ensures each provider only sees relevant questions based on their role and preferences, creating a smoother experience that reflects well on your agency.

Whether you're recruiting traveling nurses, allied health professionals, or locum tenens physicians, this form adapts to your workflow. Integrate submissions directly with your ATS or CRM using Paperform's native connections to tools like HubSpot, Salesforce, or Airtable, and use Stepper to automate credentialing follow-ups, compliance checks, and placement matching. For agencies managing contracts and assignments, Papersign lets you instantly convert applications into offer letters or independent contractor agreements with secure eSignatures—keeping everything linked to the original submission.

With Paperform's calculation engine, you can even build in rate estimators or assignment previews that help candidates understand potential earnings based on specialty, location, and shift type. The result? A faster, more transparent application process that attracts top healthcare talent and keeps your pipeline moving.

Trusted by healthcare staffing agencies nationwide, this template helps you reduce time-to-placement, maintain compliance standards, and deliver a candidate experience that sets you apart in a competitive market.