Select Page

 

 

 

 

 

NEW HIRE/CHANGE REQUEST

 

 

 

 

 

 

 

Store

[646]

Manager Name

[648]

Date

[274]

Employee’s Name

[647]

Type of Request

[649]

Date of Orientation or Change

[261]

Job Position

[650]

Attach TABC/ABC Certification: 

Attach Food Handler Certification

Pay Rate:

[263]

Last 4 Digits of SSN:

[264]

Ethnicity

[265]

Comments:

[266]