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.
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.
File Name | Download |
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HIPPA Confidentiality Statement | Click here |
File Name | Download |
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Grace Staffing Inc. Application | Click here |
File Name | Download |
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Time Sheet | Click Here |
File Name | Download |
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Job Description | Click Here |
Hepititis | Click Here |
Hepititis B Document | Click Here |
i9 form | Click Here |
Professional Reference Request | Click Here |
Direct Deposit Application | Click Here |
Respiratory Protection | Click Here |
W4 | Click Here |
Missouri W4 | Click Here |
Health Statement | Click Here |
Policy Statement | Click Here |
Allstate | Click Here |
Background Release Form | Click Here |
Once you have filled out the form, please “Save As” the form and email it to denise@gracestaffinginc.com
File Name | Download |
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General LPN Checklist | Click Here |
Dialysis Skills Checklist | Click Here |
NICU Checklist | Click Here |
Operating Room Checklist | Click Here |
Psych Skills Checklist | Click Here |
CCUICU Skills Checklist | Click Here |
ER Skills Checklist | Click Here |
Labor & Delivery Skills Checklist | Click Here |
Medical/Surgical Skills Checklist | Click Here |
Pediatrics Skills Checklist | Click Here |
Psychiatric Skills Checklist | Click Here |
Surgical Skills Checklist | Click Here |
Telemetry Skills Checklist | Click Here |
CNA Checklist | Click Here |
RT Checklist | Click Here |
PICU Skills | Click Here |
Cath Lab and Radiology Checklist | Click Here |
PACU Checklist | Click Here |
GI Lab Endo Checklist | Click Here |
File Name | Download |
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HIPPA Quiz | Click Here |
CNA Test | Click Here |
ICU Test | Click Here |
Age Specific Competancy Exam | Click Here |
Age Specific Criteria | Click Here |
Blood-borne Pathogens | Click Here |
Cultural Diversity Quiz | Click Here |
ER Medication Test | Click Here |
Fire Safety Quiz | Click Here |
Labor Test | Click Here |
Medication Test | Click Here |
Med-Surg Test | Click Here |
OSHA Test | Click Here |
Pediatric Test | Click Here |
Qualitative Fit Testing | Click Here |
RT Test | Click Here |
Telemetry Test | Click Here |