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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)
Position
Staff Pharmacist
Floater/PRN Pharmacist
Clinical Pharmacist
Pharmacy Manager
Pharmacy Technician
Delivery Driver
Tester
Sales/Marketing Representative
Administrative Assistant
Cashier
Social Security Number
(Required)
Hire Date
(Required)
MM slash DD slash YYYY
Start Date
(Required)
DD slash MM slash YYYY
3-Month Date
Home Store (store employee will work at most)
Home Store (store employee will work at most)
Carolina Pharmacy - Arboretum
Walker's Drug Store
Carolina Pharmacy -Â South End
Carolina Pharmacy -Â Rock Hill
Carolina Pharmacy -Â Hwy 9 Bypass LAX
Carolina Pharmacy -Â Meeting Street LAX
Carolina Pharmacy -Â Airport Road LAX
Corporate/Admin
Sales/Marketing
Training Store (store employee will train at)
Expected Training Period
(Required)
Expected Training Period
N/A
2 weeks
4 weeks
12 weeks
Training Mentor (who will be this employee's mentor)
(Required)
Expected Employment Review Date
(Required)
Hours
Types
(Required)
Types
Full Time
Part Time
Number of expected hours per week
Compensation:
$/Hour
(Required)
$/Year
Notes
Expected review dateÂ
(Required)
MM slash DD slash YYYY
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
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
T-shirt/Polo
T-shirt/Polo(Required)
S
M
L
XL
XXL
Hoodie/Sweater/Jacket
Hoodie/Sweater/Jacket
S
M
L
XL
XXL
Hat
Hat
S
M
L
XL
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)
States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Number
Expiration Date
MM slash DD slash YYYY
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)
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