The Travel Submission Packet: Resume, Skills Checklist, and References
By CircleRN Team | Published 2026-08-31 | 14 min read
What goes in a travel healthcare submission packet and what it is actually used for: the resume a hiring manager skims, how to rate a skills checklist honestly, how many references you need, and why you approve every submission one at a time.
A travel submission packet is the profile your recruiter sends to a facility on your behalf: a travel-format resume, a skills checklist, two or more supervisor references, copies of your license and national certification, your life support cards, and your identity documents. Every item in it already belongs to you, which makes this the one step in the hiring process that runs entirely on your clock. You have signed with an agency and have not been submitted anywhere yet, and assembling the packet is what happens next.
No board, accreditor, or federal agency publishes a travel resume format, a rating scale, or a required number of references. Where a rule exists this guide cites it; otherwise it says the convention is common agency practice.
Getting started in travel healthcare: 1. The roadmap · 2. Choosing an agency · 3. Your submission packet · 4. Credentialing · 5. The offer and the contract · 6. Your first assignment · 7. Extending or moving on
What is a travel submission packet, and who actually reads it?
You assemble the packet once and your recruiter reuses it, so an error in it repeats across every submission. Three people read it:
- Your recruiter, choosing which contracts to put you forward for.
- The facility's staffing office or the managed service provider (MSP) that controls the requisition, as a completeness screen.
- The hiring manager, who skims the resume and the checklist alongside several other profiles rather than reading any one of them closely.
Your profile is not an application adjudicated on its merits. It is a comparison document, because everyone in the stack already cleared the qualification screen.
Why do agencies and hospitals ask for all of this paperwork?
Hospitals and agencies require the paperwork because the hospital stays accountable for your practice even though it does not employ you, and needs its own record of what you can do. Where the agency holds Joint Commission Health Care Staffing Services certification, The Joint Commission says the contracting hospital may use that firm's credentialing process rather than repeat it, so how much a facility re-checks is a policy call.
For nursing this is explicit. 42 CFR 482.23(b)(6) binds all licensed nurses providing services in a hospital to that hospital's policies and requires the director of nursing service to "provide for the adequate supervision and evaluation of the clinical activities of all nursing personnel ... regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer)." Contract is where you sit, and CMS surveyor guidance at Tags A-0397 and A-0398 reads the same way, though it is guidance rather than regulatory text. Beyond nursing, 42 CFR 482.12(e) makes the governing body responsible for all services furnished in the hospital, contracted or not, nursing included.
42 CFR 482.23(b)(5) explains the demand behind the packet: a registered nurse must assign each patient's care according to "the specialized qualifications and competence of the nursing staff available." The regulation names no document. The packet is the industry's answer to it, not a form any rule specifies, and none of it is privileging, which runs through 42 CFR 482.22.
What goes on a travel resume, and what does a hiring manager skim for?
A travel resume opens with contact details and current licenses, then lists every assignment in reverse chronological order with facility type, bed count or unit size, EMR, patient population, and your ratio or caseload. The line a hiring manager skims hardest is the EMR, because charting is the part of orientation nobody can shorten. No board publishes a resume format, so this is common agency practice.
A travel resume sells the unit rather than achievements, because a manager filling a 13-week gap is establishing whether you have worked that room before. For each assignment:
- Facility, city, state, and type, which predicts acuity better than the name.
- Bed count, then your unit's size. A 38-bed medical ICU says something. "Large hospital" says nothing.
- The EMR, by name.
- Patient population and acuity: diagnoses, drips, devices, or modalities you handled.
- Ratio, caseload, or volume: patients per nurse, evaluations per day, exams per shift.
- Shift, weekly hours, dates with the month, and any charge, preceptor, or float duties.
Keep the short assignments: consecutive 13-week entries read as travel history, not job-hopping.
What is a skills checklist, and how do you rate yourself honestly?
A skills checklist is a self-report, not a test. It lists the procedures, equipment, populations, and systems for your specialty, and you rate yourself on every line. No board or accreditor publishes a rating scale or a passing score, which is why the scales differ by agency.
It has two lives. Before you start, the educator uses it to decide what you are walked through and how many shifts of orientation you get. After you start it justifies assignments, because 42 CFR 482.23(b)(5) requires a registered nurse to assign care by the specialized qualifications and competence of the staff available, and the checklist is usually the only record of yours the charge nurse has at 0700.
Rate every line against one test: have you done this, unsupervised, within the last year, in a comparable setting.
- Yes to all four. Rate it at the top of the scale.
- Not recently, or only with a resource person in the room. Rate it in the middle.
- Never done it. Mark never, usually the only answer that produces the right behavior downstream.
What happens if you over-rate or under-rate yourself on a skills checklist?
Over-rating is the expensive error, and the cost arrives on the shift rather than in the hiring decision. Nothing catches an inflated checklist at submission. It gets caught the first time you are handed what you claimed.
Your rated competencies also define your float radius, which is where a checklist becomes a boundary. A nurse who marks telemetry as independent has told the facility telemetry is inside their range, and on a low-census night that is where they go. Rate for the shift you want at 3 a.m., not for the strongest-looking profile.
The consequences are contractual, not regulatory. No regulator audits self-reports, but a facility that concludes it got someone other than the person in the file can end the assignment, on the terms in travel contract red flags. An under-rated checklist costs a job; an over-rated one costs a shift you cannot safely work.
How many references do you need, and who counts as a supervisor?
Plan on two, be ready for three, and expect them to be recent. No accreditor or federal agency publishes a required number, recency window, or acceptable title, so treat all three as common practice. Who counts is more consistent:
| Counts as a supervisor reference | Generally does not count |
|---|---|
| Charge nurse, unit manager, clinical supervisor | A physician you worked alongside |
| Clinical educator, or a preceptor who oversaw your work | A peer or co-worker |
| Lead technologist, lab supervisor, rehab director | A former clinical instructor |
The three on the right do not count because none was responsible for evaluating your practice. Most forms ask only about dates, unit, independence, and rehire eligibility.
When should you line up references, and what if your manager will not give one?
Ask before you leave, every time, in your last two weeks somewhere, while your supervisor remembers specific shifts and you are in good standing. Collect a name, title, direct phone number, and a personal email, because a bounced request reads as a reference that declined.
If your manager will not give one, the reason is usually policy: many employers route every request to HR, which confirms dates and title only. That is neutral verification, not a bad reference. Route around it:
- Ask a charge nurse, preceptor, educator, or shift supervisor who oversaw your work. Supervision is the test, not the org chart.
- Ask a former supervisor who has moved on and sits outside the policy.
- Use the unit manager from your last assignment, and tell your recruiter before the gap becomes a delay.
Which documents should you have scanned before you sign with an agency?
Have six things scanned before you sign: photo ID and Social Security card, licenses, certification and life support cards, diploma and transcript, immunization records, and your resume, checklist, and reference list. Scan them once, into one folder, as legible PDFs, because an incomplete file is a common reason a traveler sits unsubmitted, though nobody publishes figures on it.
- Government photo ID and Social Security card, for Form I-9 work eligibility verification and payroll.
- Every active license, front and back, with the number and expiration readable.
- National certification cards, and American Heart Association BLS plus any advanced card your role requires: ACLS, PALS, or NRP.
- Diploma or proof of degree conferral, and a transcript, since registrars do not work at contract speed.
- Immunization and titer records, TB screening, and your latest respirator fit test record, which your employer must repeat at least annually under OSHA's respiratory protection standard, 29 CFR 1910.134.
- Resume, skills checklist, reference list, and every facility you have worked at, with dates.
Health records and the background check run on the facility's clock after an offer, and what the rules require is in the credentialing checklist. One item you sign rather than scan is worth reading first. Before an agency can pull a background report, 15 U.S.C. 1681b(b)(2)(A) requires a clear and conspicuous written disclosure that a consumer report may be obtained for employment purposes, in a document consisting solely of that disclosure. One buried in an onboarding packet is the classic violation.
How does an agency verify your license and certification?
An agency verifies your license and certification through primary source verification, not by looking at your copy of it. The Joint Commission defines that as verification of a reported qualification by the original source or an approved agent of it, and says a copy of a license, offered in place of evidence that verification was completed, does not meet the intent. That definition sits in hospital medical staff guidance, so treat it as the working meaning.
Nurses have one national tool. Nursys QuickConfirm is a free lookup of license and discipline status, and NCSBN calls Nursys the only national database for verifying nurse licensure, discipline, and practice privileges in participating jurisdictions. Participation is the caveat, and a participating board's record can lag its own source, so confirm anything that looks wrong with the board directly. An agency may rely on it because participating boards designate Nursys a primary source equivalent database by written agreement. Compact status is covered in the Nurse Licensure Compact guide.
Allied health and therapy have no equivalent. Verification is two checks: the state board that licenses you, and the national body that certified you. NBRC states that it and your state board do not share information, and FSBPT directs the public to each state agency.
| Credential | Where it is verified, and what you can pull yourself |
|---|---|
| ARRT | The online directory ARRT calls the official source, searched by first and last name. Verification on ARRT letterhead instead needs two R.T. identifiers. A blank result proves nothing: recent exam takers and opt-outs are withheld. |
| ARDMS and other Inteleos credentials | The Inteleos directory, a status letter, a digital credential, or a badge. Inteleos states each counts as primary source verification. |
| NBSTSA (CST) | Public verification keyed on your name plus certification number. |
| NBRC (CRT, RRT) | A public lookup and phone verification. The free printed version omits your credential earned date, which boards want. |
| NBCOT (OTR, COTA) | A public search, plus official verification sent to a board or employer at no cost. |
| ASHA (CCC-SLP, CCC-A) | Online verification, which ASHA states is free, with a letter you print yourself. |
| ASCP Board of Certification | An ordered primary source verification you or an employer purchase, not a free directory. Confirm the current process and fee with ASCP directly. |
| Your state license | The state board or health department, itself a primary source. |
A compact privilege is verified where it lives, not at the destination board: PT and PTA through the PT Compact Commission, occupational therapy through the Occupational Therapy Licensure Compact. The ASLP-IC began issuing privileges on October 28, 2025, and member states onboard on a rolling basis, so check its live list first. None of these lookups return continuing education or immunizations.
What does it mean to be submitted, and why do you approve every submission?
Being submitted means your recruiter sent your profile to a specific facility for one open requisition. It is not an application, and it is not an offer: profiles sit unread for weeks and the quoted rate is often not the contract rate. Washington requisitions you can read yourself, with the rate attached, are on the travel job board.
Before your recruiter sends anything, get these six items in writing:
- Facility name and city.
- Unit.
- Shift and guaranteed weekly hours.
- Start date and contract length.
- Requisition ID.
- The rate breakdown: taxable base, housing stipend, and meals and incidentals, read the way how to read a travel pay package lays it out.
Then approve that job specifically. "Yes, submit me to req 48213, 38-bed MICU nights, start October 6" is a record. "Sure, anything in Phoenix" is a blanket authorization, and that is how travelers end up submitted twice to the same job. What the unit is like is in facility reviews. Keep the log yourself, because no agency sees another agency's submissions. One row per submission:
- Date submitted.
- Agency and recruiter.
- Facility and unit.
- Requisition ID.
- Quoted rate.
- Status.
What happens if two agencies submit you to the same job?
Usually the second submission is rejected as a duplicate and you are pulled from consideration, sometimes at both agencies. No regulator governs this and nobody publishes a rule for it: it is facility and MSP policy, so the consequence varies. Why it happens, and why the traveler carries the risk, is in choosing an agency. The mechanics of staying out of it:
- Ask for the requisition ID. A med-surg job at St. Anywhere is not identifiable across two agencies; a req number is.
- Match on facility, unit, shift, and start date when no ID exists, since one requisition resold through an MSP reaches you from several recruiters at nearly the same rate.
- Approve one submission at a time, and ask each recruiter what they have already sent on your behalf.
If it happens anyway, tell both recruiters in writing, identify which submission went first, and withdraw the later one yourself rather than let two agencies negotiate over you.
What does the packet look like for allied health and therapy travelers?
Allied health and therapy travelers submit the same four components as nurses, a resume, a skills checklist, references, and license and certification copies, but the content differs and the checklist is where the gap is widest. Nursing checklists are organized by specialty; allied and therapy checklists by modality, equipment, setting, or bench, so the lines you rate are often vendor-specific. The resume follows:
- Imaging. Modalities covered, scanner vendors and generations run, PACS and RIS by name, exam volume. See rad tech, MRI, and ultrasound pay.
- Respiratory care. Ventilator platforms by name, ICU types, transport, code team role, adult versus neonatal. See respiratory therapist pay.
- Surgical technology. Service lines you scrub, robotic platforms, case volume. See surgical tech pay.
- Laboratory. Benches covered, instrument platforms by name, the LIS, and whether you were sole tech. See medical lab scientist pay.
- Therapy. Settings worked, evaluations and treatments per day against the setting's productivity standard, whether that is a billable percentage or a visit count, and whether you supervised assistants. See PT, OT, and SLP pay.
Expect a state credential and a national certification, checked separately. More is in travel allied health jobs.
Bottom Line
Write the resume for a manager skimming yours next to several others: facility type, unit size, EMR, population, ratio. Rate the checklist for the assignment you want at 3 a.m. Ask for references before you leave. Approve submissions one at a time, in writing, and keep the log yourself.
Almost none of it is governed. No board or accreditor publishes a resume format, a rating scale, or a reference count, and anyone claiming otherwise is describing their own process. The rules sit on the hospital's side. Once an offer is in hand the clock stops being yours and credentialing takes over. Check it against verified pay data, and line up furnished housing from verified hosts before your start date.
Sources
Primary and authoritative sources referenced in this guide:
- 42 CFR 482.23, Condition of Participation: Nursing Services (paragraph (b)(6) on nursing personnel providing services by contract, and (b)(5) on assignment by specialized qualifications and competence)
- 42 CFR 482.12, Condition of Participation: Governing Body (paragraph (e), governing body responsibility for services furnished under contract)
- 42 CFR 482.22, Condition of Participation: Medical Staff (composition of the medical staff, which is why traveler onboarding is not privileging)
- CMS State Operations Manual, Appendix A, Hospitals (surveyor interpretive guidance at Tags A-0397 and A-0398; guidance to surveyors, not regulatory text)
- The Joint Commission, Standards FAQ: Primary Source Verification (the definition, and the statement that a photocopied license is not evidence of verification)
- The Joint Commission, Health Care Staffing Services Certification (certification of staffing firms, and the position that a contracting hospital may use a certified firm's credentialing process)
- 15 U.S.C. 1681b, Fair Credit Reporting Act: Permissible Purposes of Consumer Reports (the standalone written disclosure and written authorization required before a background report is pulled for employment purposes)
- 29 CFR 1910.134, OSHA Respiratory Protection (fit testing before initial use and at least annually thereafter)
- NCSBN, Nursys (the national nurse licensure database, free QuickConfirm verification, and participating jurisdictions)
- Nursys, QuickConfirm License Verification Terms (participating boards designate Nursys a primary source equivalent database by written agreement)
- ARRT, Verify Credentials (the online directory searched by name, the separate letterhead verification and its identifier requirements, and why a blank result is not proof)
- Inteleos, Verify Certification (ARDMS verification methods accepted as primary source verification)
- NBSTSA, Credential Verification (CST verification and the downloadable credential verification letter)
- NBRC, Resources and Credential Verification (free practitioner lookup and phone verification, and the ordered emailed verification)
- NBRC, Credential Maintenance vs. State License Renewal (NBRC and state boards are separate entities that do not share information)
- NBCOT, Verification of Certification (official OTR and COTA verification sent at no cost)
- ASHA, Verification of ASHA Certification (free online verification and self-service verification letters)
- ASCP Board of Certification (MLS and MLT certification, and ordered credential verification)
- ASHA, Interstate Compact Begins Issuing Compact Privileges (the October 28, 2025 start of ASLP-IC privileges and the rolling onboarding of member states)
- FSBPT, Verify a PT/PTA License (no national PT licensure database; verification runs through each state agency)
- PT Compact Commission, Compact Privilege Verification (where a PT or PTA compact privilege is actually verified)
- Occupational Therapy Licensure Compact (compact privilege verification and state-by-state onboarding timelines)
- Washington State Department of Health, Provider Credential Search (an example of a state credential lookup that is itself a primary source)