New Hire Form

New Hire Form

Please fill out the form below if you are a newly hired employee with Guy Care Service.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Any Alternative Names Used? Maiden Name, etc. Please put N/A if Not Applicable.*
Please use commas in between multiple names.
For Background Check Purposes:

Input your information carefully because this will be used to complete your background check.
Social Security Number*
Social Security Card or Birth Certificate*

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Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License Number*
Please upload your Drivers License or State ID (Front side only)*

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CPR Certificate

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Car Insurance Policy

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Height*
Weight*
Natural Hair Color*
Eye Color*
Place of Birth (City and State or Country)*
Nurse License Number (if applicable)
Any Unlawful Conviction?*

YesNoN/A
Have you lived in another state within the last 5 years?*

YesNo
If YES, please list the state(s). Put N/A if Not Applicable*
If YES, please list the address(es) you most recently lived at for each state. Put N/A if Not Applicable.*
Education

Please fill out only the level of education you have completed.
Level of Education Completed*

High SchoolAssociate's DegreeBachelor's DegreeMaster's DegreeOther
High School Diploma/GED or College Transcripts*

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Emergency Contact

Please list one emergency contact.
Full Name of Emergency Contact*
Phone Number of Emergency Contact*
Home Address of Emergency Contact*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature*

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By signing, you hereby authorize that all of the information you have provided above is true and correct to the best of your ability.
Should be Empty:

New Hire Form

For Background Check Purposes:

Education

Emergency Contact