Instructions: Click on each item and print out the materials you need. You will need the Adobe Acrobat Reader software to view some of these files.

Get Acrobat Reader:
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Important Note: Fill out documents carefully and sign each area that you have completed. You must submit the forms to GRACE Staffing by e-mail. In order to send them by email you must fill out the form and be sure to SAVE AS. If forms are being filled out within a browser, click the print icon, then click the “Save as PDF” option within the Print Preview Window. Then you attach the file to your email. If you want to send them by mail, simply print them out after you have completed them.

Confidentiality Statement

File NameDownload
HIPPA Confidentiality StatementClick here

Application

File NameDownload
Grace Staffing Inc. ApplicationClick here

Timesheet

File NameDownload
Time SheetClick Here

General Needed Information

File NameDownload
Job DescriptionClick Here
HepititisClick Here
Hepititis B DocumentClick Here
i9 formClick Here
Professional Reference RequestClick Here
Direct Deposit ApplicationClick Here
Respiratory ProtectionClick Here
W4Click Here
Missouri W4Click Here
Health StatementClick Here
Policy StatementClick Here
AllstateClick Here
Background Release FormClick Here

Skills Checklists

Once you have filled out the form, please “Save As” the form and email it to denise@gracestaffinginc.com
File NameDownload
General LPN ChecklistClick Here
Dialysis Skills ChecklistClick Here
NICU ChecklistClick Here
Operating Room ChecklistClick Here
Psych Skills ChecklistClick Here
CCUICU Skills ChecklistClick Here
ER Skills ChecklistClick Here
Labor & Delivery Skills ChecklistClick Here
Medical/Surgical Skills ChecklistClick Here
Pediatrics Skills ChecklistClick Here
Psychiatric Skills ChecklistClick Here
Surgical Skills ChecklistClick Here
Telemetry Skills ChecklistClick Here
CNA ChecklistClick Here
RT ChecklistClick Here
PICU SkillsClick Here
Cath Lab and Radiology ChecklistClick Here
PACU ChecklistClick Here
GI Lab Endo ChecklistClick Here

Tests

File NameDownload
HIPPA QuizClick Here
CNA TestClick Here
ICU TestClick Here
Age Specific Competancy ExamClick Here
Age Specific CriteriaClick Here
Blood-borne PathogensClick Here
Cultural Diversity QuizClick Here
ER Medication TestClick Here
Fire Safety QuizClick Here
Labor TestClick Here
Medication TestClick Here
Med-Surg TestClick Here
OSHA TestClick Here
Pediatric TestClick Here
Qualitative Fit TestingClick Here
RT TestClick Here
Telemetry TestClick Here