Onboarding New Employee (For Admin Only)

Employee Personal Information:

First Name(Required)

Middle Name

Last Name(Required)

Preferred First Name(Required)

Hometown (where you grew up), State, Country(Required)

Personal E-mail

Telephone Number(Required)

Position(Required)

Social Security Number(Required)

Hire Date(Required)

Start Date(Required)

3-Month Date

Home Store (store employee will work at most)

Training Store (store employee will train at)

Expected Training Period(Required)

Training Mentor (who will be this employee's mentor)(Required)

Expected Employment Review Date(Required)

Hours

Types(Required)

Number of expected hours per week

Compensation:

$/Hour(Required)

$/Year

Notes

Expected review date (Required)

Benefits:

Vacation (Paid Time Off - Number of Hours)(Required)

Eligible after 90 days from start date(Required)

401K

Eligible days after start date(Required)

Contribution

Health Insurance:

Vision(Required)

Dental(Required)

Medical(Required)

Eligible days after start date(Required)

Notes

Other Benefits

eg. Discount at Potbelly, Vic's Hotel(s), other partnerships we develop locally

Notes

Upload any professional or personal photo(s) for your profile

File

Max. file size: 50 MB.

Clothing/Uniform Sizing:

T-shirt/Polo

Hoodie/Sweater/Jacket

Hat

Comments

Verify your identity and employment eligibility in the USA by uploading one of the following:

Copy of Passport (Biometric Page)

Max. file size: 50 MB.

OR

Copy of State Driver's License/ID Card

Copy of Social Security Card

Copy of Social Security Card AND Copy of State Driver's License/ID Card

Max. file size: 50 MB.

File

Max. file size: 50 MB.

Driver's License:

States(Required)

Number

Expiration Date

Bank Details:

Bank

Account Number

Routing

Note: If either of these two options do not work for you, please contact your hiring agent

Additional Comments (for example, what fields and documents will you provide at a later date)

CAPTCHA

Onboarding New Employee (For Admin Only)

Employee Personal Information:

Benefits:

Pharmacy Services

Useful Links

Pharmacy Stores