NEW HIRE ORIENTATION BENEFITS. NEW HIRE CHECK LIST.
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Transcript of NEW HIRE ORIENTATION BENEFITS. NEW HIRE CHECK LIST.
NEW HIRE ORIENTATION
BENEFITS
NEW HIRE CHECK LIST
PERSONNEL INFORMATION
NAME: _____________________________________________
ADDRESS:______________________________________________
____________________________ _____________ _______________________________ CITY STATE ZIP
MARITAL STATUS: ( ) SINGLE( ) MARRIED ( ) DIVORCED ( ) WIDOW
SEX: MALE_____________ FEMALE_______________
ETHNIC CODE: AMERICAN INDIAN OR ALASKA NATIVE _________
ASIAN _________
BLACK OR AFRICAN AMERICAN _________
NATIVE HAWAIIAN OR OTHER PACIFIC RACE _________
WHITE OR CAUCASIAN _________
HISPANIC
DATE HIRED: __________________ DATE OF BIRTH _________
PHONE: ___________________
EMPLOYMENT PERIOD _________(10,11,12,P)
TITLE OR JOB DESCRIPTION _____________________________________________
SCHOOL OR LOCATION _____________________________________________
GRADE _________ SUBJECT __________________
Work Email
Alt. Email
SOCIAL SECURITY NUMBER ________ __________ _____________
PERSONNEL INFORMATION
STATE TAX FORM
W-4 FEDERAL TAX FORM
WORKERS COMP. PROCEDURES
DRUG FREE AKNOWLEDGEMENT
EMPLOYEE ACKNOWLEDGEMENT
I have received information relative to the Drug Free Work Place Act of 1988 and the Drug Free Schools and Communities Act of 1989 and understand that my adherence to this policy is mandated by the Crisp County Board of Education. Violation of this policy will result in disciplinary action(s). I understand that any conviction for a drug-related offense must be reported by written notification to the Superintendent of Schools within five (5) calendar days following disposition by the court. __________________________ Employee Signature
___________________________ Printed Name ____________________________________ Date
DIRECT DEPOSIT FORMCrisp County School System
Direct Deposit Authorization Form
__________________________________________ _________________________ Employee Name (Please Print) Social Security Number ___________________________________________________ School/Location _________________________________________ ____________________________________ Name of Financial Institution/Bank City, State Financial Institution/Bank Routing Transit Number ___ ___ ___ ___ ___ ___ ___ ___ ___ (Look between symbols /: and /: on bottom left corner of your check) Checking Account Number ________________________________________ OR Savings Account Number ___________________________________________ I hereby authorize the Crisp County School System to initiate a CREDIT entry to my checking/savings account at the Bank or Financial Institution I have listed above and initiate adjustments, if necessary, for any transactions credited or debited in error. This authority will remain in effect until I, the employee, notify the payroll department in writing to cancel it. ___________________________________________ Employee Signature ___________________________________________ Date
PLEASE ATTACH A VOIDED CHECK HERE
ms 04/07
SECURITY/CONFIDENTIALITY
CRISP COUNTY SCHOOL HANDBOOK
CHILD ABUSE OR NEGLECT
AMERITAS GROUP INSURANCENOEL WILLIAMS/JOEL OWENS
LIFE INSURANCE CO. OF ALABAMASTEPHANIE KINNEBREW
CAFETERIA PLAN ELECTION
FLEXIBLE SPENDING ACCOUNT
STANDARD LIFE
ASSURANT EMPLOYEE BENEFITSRICK GROOVER
ASSURANT EMPLOYEE LIFE RATES
ASSURANT SPOUSE RATES
ASSURANT DISABILITYRICK GROOVER
PLAN 1
PLAN 2
PLAN 3
PLAN 4