New Hire Rate Form EJC

Name*
First Middle Last
Location*
Employee Number*
EDRS Date*
MM slash DD slash YYYY
EDRS Class Time
Address*
Street Address Address Line 2 City State ZIP Code
Emergency Contact: Name*
First Last
Emergency Contact: Phone #*
Email*
Phone*
Birthday

Month and Day Only
Eskimo Joe's Clothes Position*
- Sales Associate
- Call Center Associate
- Warehouse Associate
- Sales Supervisor
- Assistant Manager
- Store Manager
- Other - Specify in Rate Box
Rate*
Number of Hours They Want to Work
Availability/Notes*
Previously Employed
Which manager approved rehire, when were they asked?
Name of the New Hire's Manager*
Form Completed by:*
Date*
MM slash DD slash YYYY