Please download, complete and sign the following application with appropriate skills checklist forms. Once completed or if you have any questions, call Nurse Connection, Inc. at 1-800-422-0121, we will be happy to assist you.

• Employee Handbook  – PDF Format. [download file]
• Employee Handbook Acknowledgement - Please sign and date at your earliest convinience. [Printable form]
• NCI Joint Commission Policy Statement - Nurse Connection commitment to high standard of service. [Printable form] 
• Documentation Checklist – List of requirements to complete the application packet. [download file]

• Job Application – Please complete this form at your earliest convenience. [Printable form | Fillable form]

• Application Packet for RN – Please complete this form at your earliest convenience. [download FULL application packet]

• Application Packet for LPT – Please complete this form at your earliest convenience. [download FULL application packet]

• Application Packet for LVN/LPN – Please complete this form at your earliest convenience. [download FULL application packet]

• Application Packet for RT – Please complete this form at your earliest convenience. [download FULL application packet]

• Orientation/Annual Review – Please complete this form at your earliest convenience. [download file]

• Math Test - LA County – Please complete this form at your earliest convenience. [download file]

     Skills Checklist:

• Critical Care / ICU Skills Checklist – This form is for use by Critical Care / ICU Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Emergency Room Skills Checklist – This form is for use by Emergency Room Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Telemetry / DOU Skills Checklist – This form is for use by Telemetry / DOU Nurses with one (1) year's experience. [Printable form | Fillable form]

• Labor & Delivery / Post-Partum Skills Checklist – This form is for use by Labor & Delivery / Post-Partum Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Medical / Surgical Skills Checklist – This form is for use by Med / Surg Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Neonatal Intensive Care Skills Checklist – This form is for use by Neonatal Intensive Care Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Pediatric Intensive Care Skills Checklist – This form is for use by Pediatric Intensive Care Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Operating Room Technician Skills Checklist – This form is for use by Operating Room Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Pediatric Skills Checklist – This form is for use by Pediatric Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• Psychiatric Skills Checklist – This form is for use by Psychiatric Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• LPT Skills Checklist – This form is for use by Psychiatric Technicians with more than one (1) year's experience. [Printable form | Fillable form]

• LVN/LPN Skills Checklist – This form is for use by Vocational/Practical Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• RT (M/S/ICU) Skills Checklist – This form is for use by Respiratory Therapist (M/S/ICU) Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• RT (NICU) Skills Checklist – This form is for use by Respiratory Therapist (NICU) Nurses with more than one (1) year's experience. [Printable form | Fillable form]

• RT (PICU) Skills Checklist – This form is for use by Respiratory Therapist (PICU) Nurses with more than one (1) year's experience. [Printable form | Fillable form]

     Equipment Checklist:

• Equipment Checklist – Please complete this form at your earliest convenience. [Printable form | Fillable form]

NOTE: All forms are in Adobe Acrobat (PDF) format. If you do not currently have Adobe Acrobat, please Click Here to download this application for FREE.