Please fax pages 1 and 2 along with the I-9 and all forms of identification to the Human Resources Department fax number 305-446-8463 for New Hire background check and drug screening. The Human Resources Department will contact you within 48 hours with the results to be able to schedule for mandatory training.
New Hire Packet Checklist
Company Name:
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Start Date:
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Community Name:
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Swipe Card No.:
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Department Name:
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Pay Rate: (per hour)
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Employee Name:
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Employee Replacing:
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Make sure that the following are submitted to the Training Department at UPM, prior to scheduled training:
New Hire Checklist (
Pre-Employment Application (
We Test for Drugs/Alcohol Abuse (
Consent to Obtain Consumer Report (
Injury and Disability Questionnaire (
Employment Acknowledgement Agreement (
Company Safety Policy (
Non-Discrimination Policy (
Employee Acknowledgement of Probation (
Harassment Policy (
Drug-Free Self Quiz (
W-4 Form (
I-9’s must have both a and b listed below and c when applicable (
Driver’s License (or see list A or B of I-9 for acceptable identification) (
Social Security Card (or see list C of I-9 for acceptable employment authorization) (
Work Permits/Cards (if applicable) (
MSE-Employment Screening Request Form (
Direct Deposit Form (
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Date
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Print Supervisor Name
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Supervisor Signature
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Supervisor Number
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Best Labor Contractors LLC.
PROFESSIONAL MANAGEMENT FOR SUCCESS
PRE-EMPLOYMENT APPLICATION
(PLEASE PRINT)
Equal access to programs, services and employment is available to all persons. Applicants requiring reasonable accommodations to the application and / or interview process should notify the Human Resources Department.
Position(s) applied for ________________________________________________________________________________________
Referral Sources ( ) Advertisement ( ) Government Employment Agency ( ) Private Employment Agency
( ) Walk-in ( ) Employee Referral ( ) Relative ( ) other
Name: _____________________________________/____________________________/_________/_________________________
Last First M Social Security #
Address____________________________________________/_______________________/________________/________________
Street City State Zip Code
Home Telephone (______)______________________________ Date of Birth ________________________________________
If you are 18 and required, can you furnish a work permit? ( ) Yes ( ) No
If No please explain ___________________________________________________________________________________________
Have you submitted an application here before? ( ) Yes ( ) No If Yes give dates _________________________________
Are you legally eligible for employment in this country? ( ) Yes ( ) No
Are you able to meet the attendance requirements of the position? ( ) Yes ( ) No
Have you ever been bonded? ( ) Yes ( ) No
Have you ever pled “guilty” or “no contest” to, or been convicted of a crime? ( ) Yes ( ) No
If yes, please provide date(s) and details. (Answering “Yes” to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.)____________________________________________________________________________________________________
____________________________________________________________________________________________________________
Drivers license number, if driving, is an essential job function DL# __________________________________ Expires____________
I give the employer the right to contact and obtain information from all references, credit bureau’s & all other sources necessary to verify the accuracy of the information contained in this application. I hereby release the employer and its representatives from liability for seeking, gathering and using such information and all others, corporations or organizations for furnishing such information.
This application is current for only 60 days. At the conclusion of this time, if I have no heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I understand if I am employed, any misrepresentation or material omission made by me on this application may be sufficient cause for immediate termination, whenever it is discovered.
I also understand that if I am hired, I will be required to provide proof of identity and a legal authority to work in the United States and that federal immigration laws required me to complete and I-9 Form (must be valid) in this regard.
I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local state or federal law.
If I am hired, I understand that I am free to resign at any time, with or without notice. Law may require the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except where prohibited by law. I do hereby agree to resolve any issues that may arise out of my employment, through arbitration and waive the option of trial by jury.
This application does not constitute an agreement or contract for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary.
I have read and fully understand the above and seek employment under these conditions.
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