North Carolina Department of Revenue

                                          Click link on right for Adobe Sign or  PDF                                           
NC-4 EZ Employee’s Withholding Allowance Certificate (Short Form)    Adobe Sign PDF
NC-4 Employee’s Withholding Allowance Certificate    Adobe Sign PDF

North Carolina Corrections

                                          Click link on right for  Adobe Sign or  PDF                                           
Criminal History Check Form   Adobe Sign PDF
Candidate Nursing Requirements  (PDF Only) PDF

Broughton Hospital – Morganton, NC

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Broughton Self-Test – Pain Management   Adobe Sign PDF
Broughton Health Care Technician Test  Adobe Sign PDF
DHHS Criminal Records Check Transmittal Form  Adobe Sign PDF
Required Influenza Vaccination Policy and Attestation   Adobe Sign PDF
Broughton Self-Test – Competency   Adobe Sign PDF

Nurses will be tested on the following document:

Medication Administration Education Program  (PDF Only)                                                PDF

Central Regional Hospital – Butner, NC

                                          Click link on right for Adobe Sign or  PDF
DHHS Criminal Record Check Consent Form and Release of Information   Adobe Sign PDF
Required Influenza Vaccination Policy and Attestation   Adobe Sign PDF
Application for Exemption From Annual Influenza Vaccination  (PDF Only) PDF
Adverse Weather Policy   Adobe Sign PDF
Compact License Form   Adobe Sign PDF
Required Immunization Policy Attestation Statement   Adobe Sign PDF
Fast Track Test and Attestation   Adobe Sign PDF

Documents to Review:

Compliance Checklist  (PDF Only)                                                                         PDF
Memo Regarding Levels of Observation  (PDF Only)                                                                  PDF

Nurses will be tested on the following documents:

Medication Administration Education Program Study Guide (PDF Only)                                       PDF
Fast Track Training Attestation Materials (PDF Only)      PDF
Fast Track Testing Materials (PDF Only) PDF

CNA’s will be tested on the following documents:

Fast Track Training Attestation Materials (PDF Only)                                                                                 PDF
Fast Track Testing Materials (PDF Only) PDF

Cherry Hospital – Goldsboro, NC

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Cherry Hospital Professional Nurse Job Description   Adobe Sign PDF
Cherry Hospital Licensed Practical Nurse Job Description   Adobe Sign PDF
Cherry Hospital Health Care Technician I Job Description   Adobe Sign PDF
Cherry Hospital Interview – Nurses   Adobe Sign PDF
Cherry Hospital – Health Care Technician Pre-Hire Questions   Adobe Sign PDF
Cherry Criminal Record Check Consent Form and Release of Information   Adobe Sign PDF
Required Influenza Vaccination Policy and Attestation   Adobe Sign PDF

Nurses will be tested on the following two documents:

Basic Concepts in Psychiatric Nursing  (PDF Only)                                                                            PDF
Medication Administration Education Program Study Guide (PDF Only)                   PDF

R.J. Blackley, ADATC – Butner, NC

                                          Click link on right for Adobe Sign or  PDF                                             
Registered Nurse Job Description   Adobe Sign PDF
Licensed Practical Nurse Job Description   Adobe Sign PDF
Health Care Technician Job Description   Adobe Sign PDF
Checklist for Physical Activities and Requirements, Visual Acuity, and Working Conditions   Adobe Sign PDF
Combined Information Forms   Adobe Sign PDF
Certified Nursing Assistant – Additional Skills Acknowledgement Form   Adobe Sign PDF

Nurses will be tested on the following two documents:

Basic Concepts in Psychiatric Nursing  (PDF Only)                                                   PDF
Medication Administration Education Program Study Guide (PDF Only)                   PDF

Walter B. Jones, ADATC – Greenville, NC

                                          Click link on right for Adobe Sign or  PDF                                             
Registered Nurse Banded Position Description   Adobe Sign PDF
Health Care Technician I Job Description   Adobe Sign PDF
Health Care Technician I Specifications   Adobe Sign PDF
DHHS Criminal Record Check Consent Form and Release of Information   Adobe Sign PDF