Onboarding

Onboarding Form - for Integrity Consulting

* Indicates required field

Name *

First

Last

Personal Address *

Personal Email *

Personal Phone *

Work Email *

Work Phone *

Current Employer *

Current Title *

Current Manager *

Current Pay Rate *

Average Hours per Week *

Normal Work Schedule *

Briefly Describe Your Role *

Do you have any sort of Non-Compete Agreement which would restrict you from working at Fujifilm through another vendor? *

Yes No Not Sure

What benefits do you receive? *

Health Insurance Dental Insurance Disability Insurance Vision Insurance Direct Deposit Paid Time Off (PTO) None of the Above

What pay cycle are you on? *

Weekly Every 2 Weeks Monthly Twice per Month Other

If you receive PTO, how many hours per year do you get? *

EMERGENCY CONTACT

Emergency Contact Name *

Emergency Contact Phone *

Relationship *

By checking the box below, I acknowledge that everything I have input above is accurate to the best of my knowledge *

Agree

Submit

Integrity Consulting LLC www.integrityc.com 336-600-2115