New Employee On-Boarding

Department(Required)

Content

Business Development

Operations/Admin

Hiring Manager(Required)

Legal Name(Required)

First Middle Last

I'd Like To Be Known As

Start Date(Required)

Address(Required)

Street Address City State ZIP Code

Cell or Preferred Phone(Required)

Birthdate(Required)

Personal Email(Required)

This will not be made public to the staff.

Preferred Password(Required)

To be used for your email and network login. This information will not be stored on this server and will only be available to the Technical Director.

Preferred Four Digit Alarm Code

For employees in the Benton Harbor building. If you are working remotely or in South Haven, you do not need to fill this out. This information will not be stored on this server and will only be available to the Technical Director.

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Mid-West Family