Onboarding New Employee (For Employee)

Employee Info

Date(Required)

Desired Start Date(Required)

First Name(Required)

Middle Name

Last Name(Required)

Preferred Name ("Nickname")(Required)

Hometown (City, State, Country)(Required)

Date of birth(Required)

Address (Required)

E-mail(Required)

Phone Number(Required)

Social Security Number(Required)

Driver License Details

State

Number(Required)

Expiration Date(Required)

Bank Info:

Bank

Routing Number

Account Number(Required)

confirm account number(Required)

Pharmacist/Pharmacy Technician License Info:

State

Permit Number

Not licensed - Pending

State

Permit Number

Not licensed - Pending

Desired Number of Hours per week (0-40 hours)(Required)

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

Upload Photo(Required)

Max. file size: 50 MB.

Clothing/Uniform Sizing:

T-shirt/Polo(Required)

Hoodie/Sweater/Jacket(Required)

Hat(Required)

Comments

Input comments about sizing

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

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

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Onboarding New Employee (For Employee)

Pharmacy Services

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