INTEGRITY CONSULTING * PROFESSIONAL & TECHNICAL STAFFING *
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Onboarding Form
PERSONAL INFORMATION
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Indicates required field
Name
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First
Last
Mailing Address (Include Street, City, St, Zip)
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Email
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Phone
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Work Authorization
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US Citizen
US Permanent Resident (Green Card)
Visa
Other
JOB INFORMATION
Current Employer (staffing firm)
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Current Title
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Current Hourly Pay Rate
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Current Fujifilm Manager Name (First Last)
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Average Hours Per Week
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Weekly Work Schedule (for example "Mon-Fri 8a-5p")
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What is your usual work site situation?
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100% Onsite
Mostly Onsite with occasional remote
Hybrid, 1 day remote
Hybrid, 2 days remote
Hybrid, 3+ days remote
Mostly remote, occassional onsite
100% remote
Briefly Describe Your Role
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Do you handle hazardous material in your role?
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Yes
No
Not Sure
What benefits do you receive, if any?
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Health Insurance
Dental Insurance
Disability Insurance
Vision Insurance
Life Insurance
Direct Deposit
Paid Time Off (PTO)
401K
None of the Above
If you receive PTO, how many hours per year do you get?
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EMERGENCY CONTACT
Emergency Contact Name
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Emergency Contact Phone
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Relationship
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By checking the box below, I acknowledge that everything I have input above is accurate to the best of my knowledge
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Agree
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