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.

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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 fax, mail or e-mail (email preferred). 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 fax (573.445.9797) or mail, simply print them out after you have completed them.

Confidentiality Statement

File Name Download
HIPPA Confidentiality Statement Click here

Application

File Name Download
Grace Staffing Inc. Application Click here

Timesheet

File Name Download
Time Sheet Click Here

General Needed Information

File Name Download
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

Skills Checklists

File Name Download
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

Tests

File Name Download
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