Below is the form loaded via GF shortcode ESSentials Student Submission School Name* Program/Degree of Study (Please be specific)* If you have multiple Nursing programs, please list the actual degree of study. For example, Nursing - Graduate - MSN. Do not list only the general program nameYour Name* Your Email Address* Requested Distribution Date (When ESS should send links out)* MM slash DD slash YYYY Please allow 1 business day for your request to process. If possible, would you like your student links to be sent before the selected date? Send links ASAP Send on selected date Packages (Select all that apply)* Drug Screening Background Screening Rescreen Package Compliance Document Tracking Deadline for students to create account and upload all documents* MM slash DD slash YYYY Deadline for completion of documents through ESS Quality Review/Student Deadline for all documents to be in compliance* MM slash DD slash YYYY Graduation Date* MM slash DD slash YYYY Drug Testing Location* Lab Based (student phone numbers are required) Onsite (minimum of 10 students testing required) Onsite Scheduling* I need to schedule an onsite. I have already scheduled an onsite. Onsite Contact Name* First Last Onsite Contact Phone*Onsite Contact Email* Onsite Location* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will faculty/staff also be tested at this onsite? Yes No How many staff/faculty members? Desired Date* MM slash DD slash YYYY Selected date and time is not guaranteed.Desired Time* : Hours Minutes AM PM Desired date and time is not guaranteed.Payment Type* Student Pay School Pay Add On To Previous Group Check this box if these will be added to a list you’ve already submitted. Please do not send duplicate names. Upload the batch using the ESS template ONLY. A link to download the file is located at the top of the page.*Max. file size: 256 MB. *Attach 1 Excel file. If multiple uploads are needed, please create a new submission.Special InstructionsCommentsThis field is for validation purposes and should be left unchanged.