Palace Staffing Employees Application

Palace Staffing Conditional Offer and New Hire Onboarding Packet For Temporary/ On-Call Assignments
Name

First NameLast Name
DOB

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you US citizen?
Are you authorized to work in US?
SSN
Have you been convicted of a felony or major crime?
Please explain your crime:
Are you under 18?
Could you get work permission?

English Proficiency

Score your skills from 1 to 10
Speaking
Writing
Reading
Understanding

Experience
Company: blanks*
Job Title:blank*
Start Date:   Date*
End Date:   Date*
Address:   Street Address*      City*   State*   Zip*
Work description:   Type a label*
Pay rate:   *
Reason for leaving:   Type a label*
Reference phone number:   Type a label*
Company: blanks
Job Title:blank
Start Date:   Date
End Date:   Date
Address:   Street Address      City   State   Zip
Work description:   Type a label
Pay rate:
Reason for leaving:   Type a label
Reference phone number:   Type a label
Company: blanks
Job Title:blank
Start Date:   Date
End Date:   Date
Address:   Street Address      City   State   Zip
Work description:   Type a label
Pay rate:
Reason for leaving:   Type a label
Reference phone number:   Type a label

Education
University/College
Institute name:
Graduation year:   Date
Degree Obtained:   Type a label

High School
Institute name:
Graduation year:   Date
Degree Obtained:   Type a label

Commerce School
Institute name:
Graduation year:   Date
Degree Obtained:   Type a label

Employment Eligibility Verification
USCIS
Department of Homeland Security
Form I-9
U.S. Citizenship and Immigration Services

OMB No.1615-0047 Expires 07 /31/2026

START HERE: Employers must ensure the form instructions are available to employees when completing this form. Employers are liable for failing to comply with the requirements for completing this form. See below and the Instructions.

ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.

Section 1. Employee Information and Attestation: Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.
Name

First Name (Given Name)Middle Initial (if any)Last Name (Family Name)
Other Last Names Used (If any)
Address (Street Number and Name)
Apt. Number (if any)
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy)

MonthDayYear
Date
U.S. Social Security Number
Employee's Email Address
example@example.com
Employee's Telephone Number
Format: (000) 000-0000.
I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that this information, including my selection of the box attesting to my citizenship or immigration status, is true and correct.
Check one of the following boxes to attest to your citizenship or immigration status See page 2 and 3 of the instructions
3. A lawful permanent resident Enter USCIS or A-Number
4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any)

MonthDayYear
Date
If you check Item Number 4., enter one of these:
USCIS A-Number
Form I-94 Admission Number
OR
Foreign Passport Number and Country of Issuance
OR
Signature
Today's Date (mm/dd/yyyy)

MonthDayYear
Date

Employee’s Withholding Certificate - W4 Form
Department of the Treasury Internal Revenue Service

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.
Step 1:
(a) First name and middle initial
Last name
(b) Social security number
Address
City or town, state, and ZIP code
(c)
If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
Claim Dependent and Other Credits
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500
Total Amount
Other Adjustments

Optional
Other income (not from jobs)
If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
Deductions
If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet and enter the result here
Extra Withholdings
Enter any additional tax you want withheld each pay period
Signature
Today's date

MonthDayYear
Date

Employee’s Withholding Allowance Certificate
Complete this form so that your employer can withhold the correct California state income tax from your paycheck.
Enter Personal Information
First, Middle, Last Name
Social Security Number
Address
City
State
ZIP Code
Filling Status
1. Use Worksheet A for Regular Withholding allowances. Use other worksheets on the following pages as applicable.

1a. Number of Regular Withholding Allowances (Worksheet A)
What is the number of depends on that you have?
Employee’s Signature
Date

MonthDayYear
Date

Non-Compete Agreement

You agree that, during the period of employment, you will not seek or accept direct employment with any business that may be considered a client of Palace Staffing in any way for a period of 6 months after your resignation.

Specifically, you may not directly work, own, lease, control, operate, engage, manage, provide services, consult, advise, or allow your name to be used by any company associated with or a client of Palace Staffing in any manner.
Signature

Responsibilities and Guidelines
1. Timesheet Approval: You are responsible for signing all timesheets; otherwise, the hours worked on unsigned timesheets will not be considered for corresponding payment.
2. Recording Work Hours: It is your responsibility to input your clock-in and clock-out times; otherwise, the hours worked on unsigned timesheets will not be considered for corresponding payment.
3. Personal Timesheet Record: Maintain your own record of timesheets.
4. Advance Notice of Absence: If you are unable to work the next day, you must notify us 24 hours in advance of your absence, except in emergencies.
5. Uniform Requirement: You must report to your workplace in the required uniform, as outlined in Annex A and B attached to this document.
6. Employment Terms: Palace Staffing provides temporary, on-call, and assignment-based staffing services to clients. Employment with Palace Staffing does not guarantee full-time work, part-time work, a fixed schedule, a minimum number of hours, or continuous assignments.
7. Equal Employment Opportunity: Palace Staffing is an Equal Opportunity Employer. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, gender, gender identity, sexual orientation, national origin, age, disability, marital status, immigration status, or any other status protected by applicable law.
8. Anti-Discrimination and Anti-Harassment Policy: Discrimination, sexual harassment, harassment, retaliation, or any inappropriate conduct in the workplace is strictly prohibited. All employees are expected to treat coworkers, clients, supervisors, and customers with respect and professionalism at all times. Any violation of this policy may result in disciplinary action, up to and including termination.
Signature

Equal Employment Opportunity, Anti-Discrimination, Anti-Harassment, and No Retaliation Policy
Palace Staffing is an Equal Opportunity Employer. Palace Staffing provides equal employment opportunities to all applicants and employees and does not discriminate based on race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, national origin, ancestry, age, disability, medical condition, pregnancy, marital status, military or veteran status, immigration status, or any other status protected by applicable law.

Palace Staffing is committed to maintaining a professional, respectful, and safe work environment. Discrimination, sexual harassment, harassment, retaliation, or any inappropriate conduct toward applicants, employees, coworkers, supervisors, clients, customers, vendors, or any other person in the workplace is strictly prohibited.

Employment decisions, including hiring, onboarding, scheduling, assignment placement, training, compensation, discipline, and termination, will be based on job-related factors such as qualifications, experience, availability, reliability, performance, certifications, ability to perform the essential duties of the position, client requirements, and business needs.

Because Palace Staffing provides temporary, on-call, and assignment-based staffing services, work assignments are not guaranteed. However, Palace Staffing will offer and assign work opportunities in a fair and non-discriminatory manner.

Prohibited Conduct

Prohibited conduct includes, but is not limited to:
- Sexual harassment, including unwelcome sexual comments, jokes, touching, requests for sexual favors, or other verbal, physical, or visual conduct of a sexual nature.
- Discrimination or unfair treatment based on any protected characteristic.
- Harassment, offensive comments, insults, threats, intimidation, bullying, or inappropriate behavior.
- Retaliation against any person who reports a concern, participates in an investigation, requests an accommodation, or supports another person’s complaint.
Reporting Procedure
Any applicant or employee who experiences, witnesses, or becomes aware of discrimination, sexual harassment, harassment, retaliation, or any inappropriate workplace conduct should report the matter as soon as possible.

Reports may be made to:
1. A supervisor or manager
2. Palace Staffing’s office or administrative representative
3. Human Resources or the designated company representative
4. Any member of management the employee feels comfortable contacting
Employees should provide as much information as possible, including the date, time, location, people involved, witnesses, and a description of what happened.

Investigation and Corrective Action
Palace Staffing will review complaints promptly, fairly, and objectively. The company may interview the person making the complaint, the person accused, witnesses, and any other individuals with relevant information.

Palace Staffing will maintain confidentiality to the extent possible; however, complete confidentiality cannot be guaranteed because the company may need to investigate and take appropriate action.

If Palace Staffing determines that discrimination, sexual harassment, harassment, retaliation, or inappropriate conduct occurred, the company will take appropriate corrective action. Corrective action may include counseling, written warnings, removal from assignments, suspension, termination, or any other action Palace Staffing considers necessary.

No Retaliation
Palace Staffing strictly prohibits retaliation against any applicant or employee who reports a concern in good faith, participates in an investigation, requests an accommodation, or supports another person’s complaint. Any retaliation may result in disciplinary action, up to and including termination.

Reasonable Accommodation
Applicants or employees who need a reasonable accommodation due to disability, pregnancy, religious belief, or another protected reason may contact Palace Staffing’s office or designated company representative. Palace Staffing will review accommodation requests and engage in a good-faith process to determine whether a reasonable accommodation can be provided.

Acknowledgment
By signing this form, I acknowledge that I have read and understand Palace Staffing’s Equal Employment Opportunity, Anti-Discrimination, Anti-Harassment, and No Retaliation Policy. I understand that Palace Staffing prohibits discrimination, sexual harassment, harassment, and retaliation, and that I am responsible for reporting any concerns as soon as possible.
Signature

Image Authorization
I hereby, in accordance with the United States Federal Copyright Law, grant permission to Palace Staffing to use photographs or video recordings that include my image in campaigns, promotional materials, and any other supporting material deemed relevant for the dissemination and promotion of the company, distributed domestically or internationally through any means, whether print, electronic, or otherwise. Additionally, based on the law, I wish to express that this authorization is voluntary and entirely free of charge. Therefore, Palace Staffing is free to use, reproduce, transmit, rebroadcast, publicly display, create other derivative works from my image in promotional campaigns through any means, as well as the fixation of said image in projections, videos, graphics, texts, films, and all supplementary materials of promotions and campaigns, establishing that it will be used solely and exclusively for the stated purposes. I declare that I waive any right to inspect or approve the sequences of video recording or photography. I authorize the use of my image for as long as the company deems appropriate; however, this authorization may be revoked by written notice addressed to Palace Staffing at 175 Bernal Road, Suite 100-2, San Jose, CA, 95119, or via email at admin@palacestaffing.com.

I declare that I am of legal age, and if not, one of my parents or legal guardians has signed the Consent/Legal Release form included at the end of this document.

Image Authorization
Signature

Annex A: Employee Code - Permitted Attire
Positions:
- Housekeeping
- Steward/ Dishwasher
- Cook
- Cook helper
- No visible tattoos or piercings (except for ear piercings).
- Hair should be tied back.
- Maintain general hygiene.
Equipment Required:
Cook o cook helper: Knife Set, Hair Protective Cap or Net, and Cut-Resistant Gloves.
Upper Body
Polo Shirt

No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).
Lower Body
Pants

No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).

No jeans, no leggings. No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).
Shoes
Non-Slip Shoes

No logos, they must be presentable.
Signature

Annex A: Employee Code - Permitted Attire
Positions
- Banquet Server/ waiters
- Bartender
- Barista
- Cashiers
- No visible tattoos or piercings (except for ear piercings).
- Hair should be tied back.
- Maintain general hygiene.
Upper Body
Shirt

No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).
Lower Body
Pants

No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).

No jeans, no leggings. No logos, stripes, or markings. It must be presentable (clean and/or ironed if necessary).
Shoes
Non-Slip Shoes

No logos, they must be presentable.
Signature
Should be Empty:

Palace Staffing Conditional Offer and New Hire Onboarding Packet For Temporary/ On-Call Assignments

English Proficiency

Availability

Experience

Education

Employment Eligibility Verification

USCIS

Department of Homeland Security

Form I-9

USCIS A-Number

Form I-94 Admission Number

Foreign Passport Number and Country of Issuance

Employee’s Withholding Certificate - W4 Form

Step 1:

Claim Dependent and Other Credits

Other Adjustments

Employee’s Withholding Allowance Certificate

Enter Personal Information

Equal Employment Opportunity, Anti-Discrimination, Anti-Harassment, and No Retaliation Policy

Image Authorization

Positions:

Equipment Required:

Upper Body

Lower Body

Shoes

Upper Body

Lower Body

Shoes