New Hire Employment Package

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New Hire Employment Package

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Welcome to American CMG Services, Inc. We look forward to working with you and hope you enjoy your working experience with us. Please complete the required areas (marked with a red asterisk * ) throughout the packet. When finished, you will need to electronically submit this packet by clicking on Submit at the end. An option to print a copy of this form is available at the end. You will also need to submit it before your first day on the job. Please look for an email from E-Verify: Valid Driver's License, or other acceptable ID listed under I-9, page 3. Social Security Card. I-9, Authorization for Direct Deposit, and Acknowledgment of Receipt of Employee Handbook which will be generated by filling out this New Hire Employment Package. All items must be submitted to your Manager before you begin working your first shift. Late items will result in a delayed paycheck. Please contact Ginger O'Brien at 757.880.5162 if you have any questions about your employment with American CMG Services, Inc or American Orthotic and Prosthetic Center, Inc.

Before you began this form it works best if you have signed your handbook and have other docs that will be uploaded.
Personal Information

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Full Name *

First and Middle NameLast Name
Middle Name*
Personal Email*
example@example.com
Social Security Number*
XXX-XX-XXX
Cell Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Ethnic Origin*

African American/BlackAmerican Indian/Alaskan NativeAsianHispanic or LatinoNative Hawaiian/Pacific IslanderTwo or more racesUnknownWhite
Veteran*

YesNo
Disabled*

YesNo
Is your spouse a veteran?*

YesNo
Emergency Contact Information

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Emergency Contact Name*

First NameLast Name
Relationship to Self*

SpouseParentChildRelativeFriendOther
What is the best way to contact them in the event of an emergency?*

Cell PhoneHome PhoneWork Phone
Please provide phone numbers, specifically the number they are best to be contacted on.
Cell Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Miscellaneous Information

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Are you interested in health insurance through ACMG?*

YesNo, I don't need it.
Shirt Size*
Tell us something interesting about you.*
What is your favorite pastime?
In what way do you prefer to receive recognition (For example, do you like a public shout-out, or do you prefer a written note)?
What helps you relax or distress?
Do you have a specific charity, organization, or because you are passionate about?
If you could snap your fingers and instantly have a new skill, what would it be and why?
What’s your favorite snack, treat, or restaurant?
Driver License Authorization

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As an employee of ACMG/AOPC, I consent and authorize American CMG Services and its HR department to obtain information from the STATE Driver License Division (“Division”) relating to my driving record. Information to be provided by the Division includes name, driver’s license number, date of issuance, whether the license is valid, driving incidents, and reports and other similar driver information specific to employees of ACMG id applies to my position.
Signature for Driver License Authorization*

Clear
Driver's License Number & STATE *
Driver's License Expiration Date*

MonthDayYear
Date
Upload Your Completed W-4 Here*

Browse Files
Upload PDF Cancelof
Upload Your Driver's License*

Browse Files
Upload PDF Cancelof
Employee Handbook

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As an employee of American CMG Services, Inc. you will be expected to abide by the standards contained in the Employee Handbook. Please make sure to review the entire book. If you did not get it with the offer letter please sent an email to Ginger (gobrien@acmgervices.us) Once you have reviewed the Employee Handbook, it is required you read and sign an acknowledgment form. Click below to read, fill, and sign this form: Employee Acknowledgement of Receipt of Employee Handbook.
Upload Your Completed Acknowledgement of Receipt of Handbook Form*

Browse Files
Upload PDF Cancelof
Acknowledgment

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Required*

I confirm that all information in this form is true and accurate.I agree that I will complete and uploaded the required documents: W-4, I-9, Authorization for Direct Deposit (If Applicable), and Employee Acknowledgment of Receipt of Employee Handbook
Applicant's Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

New Hire Employment Package

Personal Information

Emergency Contact Information

Miscellaneous Information

Driver License Authorization

Employee Handbook

Acknowledgment