RRT · CRT Application

Join our respiratory therapy team

Success Nurse Agency Inc staffs Registered and Certified Respiratory Therapists across hospitals, LTACHs, subacute rehab and skilled nursing in Chicago and the surrounding suburbs. Complete the RT-specific application below and upload your NBRC credential, IL RCP license, and life-support cards.

Personal Information

Full legal name *

Date of birth *

Email *

Phone *

Street address *

City *

State *

ZIP *

Credential & Experience

NBRC credential *

Years of experience *

IL RCP License number *

License state *

License expiration *

Preferred settings

Modalities you're competent with

Sub-specialties (Peds, Neonatal, Sleep, PFT…)

Current Certifications

Check what you currently hold. We connect with the American Heart Association to keep your BLS, ACLS, PALS and NRP credentials current.

Availability

Shift preference

Earliest start date

Professional references

Anything else we should know?

Upload Documents

Accepted: PDF, JPG, PNG, HEIC. Max 15MB per file. All uploads are private and encrypted.

Illinois Respiratory Care Practitioner License *

Current IDFPR RCP license — front & back

NBRC Credential (RRT or CRT) *

National Board for Respiratory Care card

Government-Issued Photo ID *

Driver's license or passport

Social Security Card *

For payroll & background check

Resume / CV *

Most recent RT work history

RT Diploma / Degree / Transcript

AS or BS in Respiratory Care

BLS Certification *

American Heart Association preferred

ACLS Certification

Required for hospital / ICU RT shifts

PALS Certification

Required for pediatric shifts

NRP Certification

Neonatal Resuscitation — required for L&D/NICU

Immunization Records *

MMR, Varicella, Hep B, Flu, Tdap

TB Test / Chest X-Ray *

Within the last 12 months

N95 Respirator Fit Test

Within the last 12 months

COVID-19 Vaccination Record

Card or digital record

Annual Physical Exam

Within the last 12 months