Applicant and Employee Forms

When you're ready to join the Assured Healthcare team, we make the process as simple and streamlined as possible:

• Call us at 847-775-7445 to schedule an interview
• Click to open, then print and complete each of the Application Documents listed below
• Bring the completed documents to the interview with you

That's all there is to it!  By completing the necessary paperwork in advance, in the comfort of your own home, you'll have more time to talk with our staffing representatives about your work preferences and available job opportunities.

⇒  Employment Application

⇒  Statement of Understanding

⇒  Confidentiality Statement

⇒  Drug Screening Consent

⇒  Employee Health Information Release

⇒  Background Check Release

⇒  Employment Eligibility Verification (I-9 Form)

⇒  Bloodborne Pathogens, Hazardous Materials & Lifting Information

⇒  Bloodborne Pathogens, Hazardous Materials & Lifting Test

⇒  Direct Deposit Form

⇒  Interview Requirements List

⇒  Reference Form (please print out 2 and fill in the top portion, including the name of the reference, address and contact information)

 Tax Forms

⇒  Federal Withholding Tax - Form W-4

⇒  Illinois Withholding Tax W-4

⇒  Wisconsin Withholding Tax W-4

 Contact Assured Healthcare today at (847) 775-7445

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 Assured Healthcare
Employee Benefits Summary

• Eligible employees have access to:
• Competitive pay paid weekly
• Holiday pay and Vacation pay
• Health Insurance program participation
• Dental insurance program participation
• Life Insurance program participation
• 401(k) program participation
• Sign-on bonus of $500 for RNs
• Referral Bonuses
  $250 for RNs (unlimited)
• Referral Bonuses
  $50.00 for all other positions (unlimited)
• Automatic Direct Deposit