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

Phone 847.775.7445

Assured Healthcare Staffing
Employee Benefits Summary

Qualified employees are eligible for:

• Competitive pay, paid weekly
• Holiday pay and Vacation pay
• 401(k) program participation
• Sign-on bonus for RNs
• Referral Bonuses (unlimited)
• Automatic Direct Deposit