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Pre-Employment Checklist

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					PLACE ON YOUR COMPANY’S LETTERHEAD (DELETE THIS TEXT BOX)




                                   Pre-Employment Checklist
                               To be completed for each new employee.




     Employee Information


                                               Date Completed:
            Last Name:                      First Name:                   Middle Initial:



     Social Security Number:              Employee ID #:            Personal e-Mail Address:



          Home Phone #:                Personal Cell Phone #:           Alternate Phone #:



             Job Code:                   Department Code:                  Date of Hire:



           Position Title:                Work Location:                Position Reports to:



          Annual Salary:                 Benefits Package:              First Day of Work:



         Orientation Date:           New Hire / Rehire / Temp:          U.S. Citizen – Y/N:




   © Copyright 2011 Docstoc Inc.                                                      1
Forms / Items Received From Employee


                                                                           Date
                               Form / Item                                                  Initials
                                                                          Received
  Signed Employment Agreement

  Consent to Pre-Employment Drug Screening

  Signed Non-Disclosure Agreement
  Completed and Signed Request for Taxpayer Identification Number and
  Certification (W-9) or Employment Eligibility Verification (I-9)
  Resume
  Copy of Valid Driver’s License or Government-Issued Identification
  Card
  Copies of Current Licenses or Certifications Relevant to the Position

  Completed Application for Employment

  Completed Skills Checklist or Assessment Forms

  Completed Direct Deposit Form



  New Employee Certification:

  I have completed this checklist to the best of my knowledge and ability, and have provided all
  items indicated above by my initials.



  _______________________________________________________                   ________________
  Employee Signature                                                              Date


  Supervisor/Management Acknowledgement:

  The above-referenced employee signed this Pre-Employment Checklist in my presence. A copy
  of the completed certification has been provided to the employee.


  _______________________________________________________                   ________________
  Manager Signature                                                               Date




  © Copyright 2011 Docstoc Inc.                                                         2
Forms / Items Provided to Employee


                                                                        Date
                                Form / Item                                           Initials
                                                                       Received
   Job Description

   Substance Abuse Policy

   Information Technology Policy

   Safety in the Work Place Policy

   Other Policy #1:

   Other Policy #2:

   Employee Identification Badge

   Keys, Keycards or Access Cards, including desk, file cabinet keys

   Company Charge / Credit Card

   Company Cell Phone and Accessories

   Pager or PDA

   Company Uniforms

   Company Vehicle

   Parking Rules and Regulations and Access Card




   © Copyright 2011 Docstoc Inc.                                                  3
New Employee Certification:

I have completed this checklist to the best of my knowledge and ability, and have received all
items indicated above by my initials.

_______________________________________________________                    ________________
Employee Signature                                                               Date

Supervisor/Management Acknowledgement:

The above-referenced employee signed this Pre-Employment Checklist in my presence. A copy
of the completed certification has been provided to the employee.

_______________________________________________________                    ________________
Manager Signature                                                                Date




© Copyright 2011 Docstoc Inc.                                                         4

				
DOCUMENT INFO
Description: This is a comprehensive pre-employment checklist for company organization. The document is divided into three sections: employee information, forms/items received from employee, and forms/items provided to employee.
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