Deadline
As soon as possible.

1. Download and complete

• Confidentiality Agreement
• Disclosure Form
• Drug-Free Policy
• Hepatitis B Immunization
• National Background Check
• Personnel Data Form
• Physician Description

Fax these forms, and a copy of a recent TB test, to:

Erin Greene
Human Resources Assistant
Community Health Care
Phone: (253) 597-4550
Fax: (253) 722-1546

2. Additional information

• Personal Vehicle & Smoke-Free Workplace Policies

The School of Nursing will provide to the site:

• A copy of our liability insurance