Below are various forms you may need to complete in order to be employed through First Assist. Most of the forms below can be submitted online via the Submit button at the bottom of the form.

If you've reached this page before speaking with one of our recruiters and aren't completely sure which forms you should complete, we highly recommend you only fill out at this time the Age Specific Checklist, the Application for Employment and your applicable Skills Checklist (see checklist section below).

If you haven't yet spoken with a First Assist Recruiter, but would like to before filling out any forms, a great place to start is our Employment section (above in the green menu bar). These pages will help you find positions of interest and get connected with a First Assist recruiter.

To view and complete forms please use Adobe Reader 7.0:

PLEASE NOTE: Some of these forms are LARGE and may take a few minutes to load. Please be patient!


APPLICATION PACKET
Age Specific Checklist - Self Evaluation
Age Specific Competency Test
Application for Employment
Background Check - Authorization
Background Check - Notification
Background Check - Notification (California)
Consent to Substance Testing
Direct Deposit - Authorization Agreement (if applicable)
Education Verification (if applicable)
Employment Eligibility Verification (I-9)
Employment Verification
Hepatitis B Vaccine Declination
Tuberculosis Screening Questionnaire
Reference Form
W4 Form (2008)

SKILLS CHECKLISTS
Skills Checklist - Cardiac Catheterization RN
Skills Checklist - CNA
Skills Checklist - Critical Care
Skills Checklist - Dialysis RN
Skills Checklist - Emergency Department RN
Skills Checklist - Imaging
Skills Checklist - LPN
Skills Checklist - MA MR IB
Skills Checklist - Medical Surgical
Skills Checklist - Mother Infant
Skills Checklist - NICU
Skills Checklist - Operating Room
Skills Checklist - OT COTA
Skills Checklist - PACU RN
Skills Checklist - PICU Pediatric RN
Skills Checklist - Psychiatric RN
Skills Checklist - PT PTA
Skills Checklist - Respiratory Therapy
Skills Checklist - SLP
Skills Checklist - Sterile Processing
Skills Checklist - Telemetry

ADDITIONAL FORMS AND INFORMATION
Age Specific Competency Study Guide
CDC Hand Hygiene Guidelines
CEO Safety Policy - Cleveland
Cultural Diversity and Sensitivity
Drug and Alcohol Free Policy
Fair Credit Reporting Act
Field Employee Manual
Field Staff Orientation Checklist
HIPAA Manual 4-20-06
Housing Condition Checklist
JCAHO 2007 National Patient Safety Goals
Occupational Exposure to Bloodborne Pathogens
OSHA Safety Manual
OSHA Safety Manual Test
Patients' Bill of Rights
Permanent Tax Residence Questionnaire
Protect Yourself Against Tuberculosis
Safety Hazard Report Form
Statement of Health
Timecard - Baltimore
Timecard - Chicago
Timecard - Cleveland
Timecard - DC