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Onboarding New Employee (For Employee)
Employee Info
Date
(Required)
MM slash DD slash YYYY
Desired Start Date
(Required)
MM slash DD slash YYYY
First Name
(Required)
Middle Name
Last Name
(Required)
Preferred Name ("Nickname")
(Required)
Hometown (City, State, Country)
(Required)
Date of birth
(Required)
MM slash DD slash YYYY
AddressÂ
(Required)
E-mail
(Required)
Phone Number
(Required)
Social Security Number
(Required)
Driver License Details
State
State
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
(Required)
Expiration Date
(Required)
MM slash DD slash YYYY
Bank Info:
Bank
Routing Number
Account Number
(Required)
confirm account number
(Required)
Pharmacist/Pharmacy Technician License Info:
State
State
North Carolina
South Carolina
Permit Number
Not licensed - Pending
Not licensed - Pending
State
State
North Carolina
South Carolina
Permit Number
Not licensed - Pending
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)
T-shirt/Polo
S
M
L
XL
XXL
Hoodie/Sweater/Jacket
(Required)
Hoodie/Sweater/Jacket
S
M
L
XL
XXL
Hat
(Required)
Hat
S
M
L
XL
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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