STAFF INFORMATION
CONTACT INFORMATION
CONTACT
Name
Preferred Pronouns
Birthdate
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
PROGRAMS
ECE
ASAP
RWSAS
ADMIN
SUB
SUMMER CAMP ONLY
POSITION
Drivers license
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W4
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I9
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Hiring Date
-
Month
-
Day
Year
Date
Please provide 4-digit numbers to set up a door access and time-sheet management account.
CHOICE # 2 (in case first is already taken)
EMERGENCY CONTACT
Emergency contact #1 name
First Name
Last Name
Emergency contact Phone Number
Please enter a valid phone number.
Emergency contact #2 name
First Name
Last Name
Emergency contact #2 Phone Number
Please enter a valid phone number.
TRAINING EDUCATION
TRAINING
To be filled by the employeer
Check if :
Staff has complete their orientation checklist.
Check if :
Staff has complete their 30H initial training.
Staff is exempt from training hour
Exemption File Upload
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Training hours 2021
Training hours 2022
Training hours 2023
Training hours 2024
Training hours files upload.
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Education
To be filled by employee
Current School Education
Education File Upload
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ANNUAL REVIEW/OBSERVATION
Last review Date
-
Month
-
Day
Year
Date
File Upload
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MEDICAL
MEDICAL
TB TEST
TB TEST
Completed
TB File Upload
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MMR
MMR
Completed
MMR File Upload
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BACKGROUND CHECK
Background check
Completed
Background check Fild Upload
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Current background check expiration date
-
Month
-
Day
Year
Date
CPR TRAINING
CPR training
Completed
CPR training Fild Upload
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CPR expiration date
-
Month
-
Day
Year
Date
BBP
BBP training
Completed
BBP training File Upload
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BBP expiration date
-
Month
-
Day
Year
Date
COVID
COVID
Completed
COVID File Upload
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Food handler permit
Food handler permit
Completed
Food handler permit expiration date
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Food handler permit expiration date
-
Month
-
Day
Year
Date
ADDITIONAL INFORMATION
Type a question
TERMINATION
Termination Date
-
Month
-
Day
Year
Date
Exit interview File Upload
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Save
Submit
Should be Empty: