RN Application Packet
LVN Application Packet
Option #1:*
Print
this document, handwrite all of the information, then submit all
requested documentation & certifications via mail;
Option #2: *Complete document electronically, print it, sign it,
date it, & submit it, with copies of all certifications, etc.
(At this time, Packets cannot be submitted online.)
Instructions:
1. If you use the
.pdf forms autofill feature and you complete all fields on page # 4 (application
page), your information will be copied to all applicable fields
throughout the remainder of the packet. You will need to
scroll through each page, completing remaining fields, clicking on boxes for the skills checklists,
selecting the correct answers on the quizzes (True /
False), etc.
2.
Print the document, add
your signature to all requested locations and review to make sure all
pages are complete.
3. Click on "File-Save As"
and save the document to your computer.
4. Mail the
pertinent documents (so that we will have original signatures on file.) |
Skills Checklists
Critical Care Skills Checklist
ER
Skills Checklist
MedSurg
Skills Checklist
OR Skills Checklist
Respiratory Therapist Skills Checklist
Telemetry Skills
Checklist
Payroll Forms
2008
Pay Period Calendar
Time Sheets
Direct Deposit Authorization
Payroll & Time Sheet Instructions
Form I-9 (2008)
Form W-4 (2008)
Employee Forms
Performance Eval-Prof Reference
Change of Address
Emergency Contact Information
Job
Description-Nurses
Physician's Statement (annual physical)
ChickenPox Exposure Questionnaire
TB
Screening Questionnaire
Blue Cross
Application |
Check My
Schedule
- View your schedule.
- View available shifts.
Email us for login information.
General Forms
What to do if injured on the job
Workers Comp Guide for Employees
Workers Comp
Claim Form
Am I an Employee or Independent
Contractor?
If you plan to work as an Independent Contractor, you will be
required to submit proof of:
- General & Professional Liability
- Workers' Comp coverage
- Form W-9
National Council of State
Boards of Nursing
Nursys License Verification
Site Map
Home Page
Nurses
Information
Facilities
Information
Our Mission
Contact Us
Facility Application
Resources
|
