New Hire for Onboarding

New Hire Info for Onboarding

"*" indicates required fields

Name*

First Last

Actual Starting Date*

Email*

Enter Email Confirm Email

Status*

Part Time Less than 18 hours per week (Office use: NBE, Meas, PTH, No PTO)

Part Time 18 to 29 hours per week (Office use: NBE, Meas, PTH, P-PTO)

Part Time 30 to 34 hours per week (Office use: BE, Meas, PTH, P-PTO)

Full Time 35 or more hours per week (Office use: BE; Meas, FTH or FTS, C-PTO

Rate of Pay*

Store Location*

State of Residence*

Is this person a Re-hire?*

Did this person complete an ADP Application through the Champlain Farms website?*

Yes

Manager submitting this form*