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  • New Hire Information Form
    New Hire Enrollment Form

    First Name:   

     

    Middle Name: 

     

    Last Name: 

    Address:     

    City:                 

    State:               

    Zip:                   

    Cell Phone:      

    Home Phone:   

    Email:                

    Date of Birth:    

    Male:      
    Female:  

    Social Security Number:

    Company:

    First Day on the Payroll:

    Supervisor:

    Supervisor Phone Number:

    Highest Level of Education:

    8th Grade or Lower: 

    Some High School: 9-12 

    GED: 

    High School Graduate: 

    College Degree or Higher: 

    Do Not Wish to Answer: 

    Military Veteran 

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    No 

    Do Not Wish to Answer 

    If a Veteran, are you a Vietnam Era Vet?

    Yes 

    No 

    Do Not Wish to Answer 

    Are you a Registered Apprentice in Another Trade? 

    Race:

    African American or Black 

    Asian 

    American Indian or Alaska Native 

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    Ethnic Group:Must Choose one

    Hispanic Origin

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