ASSOCIATE DATA FORM

New Hire Re-Hire Termination Change

BASIC INFORMATION

First Name ______________________ Middle Name ____________________ Last Name _________________________

Address _________________________________________ Apt# ________________ E-Mail ________________________________

City _____________________________________________ State ________________ Zip ____________ County _______________

Phone ( ) ______________________________________ M/F ______ EEO ______ (see table) Disability Y/N _______

Hire date ______________________ Department Code ______________ (see table) Position Title _____________________

SSN#________-________-________ Birth Date _______/_______/_______ Effective Date _______/_______/_______

PAYROLL DATA

Salary Rate $______ Hourly Rate $______ Effective Date _____/_____/_____ P/T or F/T (circle one)

SALARY & PERFORMANCE REVIEW INFORMATION

from to %
Salary ____________ ______________ _____________ Effective Date _____/_____/_____

Hourly ____________ ______________ _____________ Salary Increase Type _____________ Review Rating ______________
(see table)

DEPARTMENT & TRANSFERS

DEPARTMENT POSITION EFFECTIVE DATE
Old _______________________ ________________________

New _______________________ ________________________ _______/_______/_______

TERMINATION

Term Code ___________________ (see table on reverse) Last Day Worked _____/_____/_____

Comments

Pay Days are the 7th and 22nd of every month

AUTHORIZATION SIGNATURE PRINT NAME DATE
DEPARTMENT MANAGER
HUMAN RESOURCES MANAGER
GENERAL MANAGER

HR 22-8/07
 INSTRUCTIONS FOR COMPLETING ASSOCIATE DATA FORM (HR 22)
NEW HIRE/REHIRE – Complete all known information in the Basic Information, Payroll & Tax Data, Salary & Performance Review
Information and Authorization Sections.
TERMINATION – Complete the Basic Information, Termination and Authorization Sections.
CHANGE – Complete the Basic Information, Payroll & Tax Data, Department & Transfers and Authorization Sections.
TRANSFER – Complete the Basic Information, Department & Transfers and Authorization Sections.
INCREASE/REVIEWS – Complete the Basic Information, Salary & Performance Review Information and Authorization Sections.

Salary & Increase Type

DEPARTMENT CODES M Merit
Front Desk Management 100101 Dishwasher 800805 P Promotion
A Administrative
Front Desk Supervisor 100103 Banquet Manager 600601
Front Desk Agent 100104 Banquet Captain 600602
Night Audit 100107 Banquet Server 600603
Pbx Operation 100109 Banquet Set-Up 600604
Bellman 100110 Banquet Bartender 600605 Employment Status
Housekeeping Sex F=Female M=Male
Management 200201 Beverage Bartender 700702 Marital M=Married S=Single
Housekeeping Supervisor 200202 Beverage Server 700703 Status
Part Time Less than 30 hrs per week
Room Attendant 200204 HR Management 121209
Full Time More that 30 hrs per week
Laundry Attendant 200208 A&G Management 121204
Houseperson 200205 General Manager 121201
Director of Food &
Beverage 300301 A&G Staff 121205
F&B Supervisor 300303 Director of Sales 131301

Restaurant Server 300304 Sales Manager 131303

Sales and Catering Admin
Restaurant Host 300305 Assistant 131305
Crowne Meetings
Busser 300307 Director/Manager 131304
Executive Chef 800801 Chief Engineer 141401
Line Cook 800803 Maintenance Engineer 141402
Sous Chef 800802

TERM VOLUNTARY TERM INVOLUNTARY

Code Reason Rehire Code Reason Rehire
Eligibility Eligibility
A Accepted other employment Yes 1 Attendance (Excessive & Unexcused) Yes
B Dissatisfied with salary/compensation Yes 2 Unsatisfactory job performance Yes
C Dissatisfied with work environment No 3 Violation of policy and procedures No
D Dissatisfied with Management No 4 Misconduct No
E Dissatisfied with work hours Yes 5 Negligence Yes
F Dissatisfied with company policies No 6 Physical/Mental inability to perform job No
G Returning to School Yes 7 Reduction in force Yes
H Relocation/Commute difficulties Yes 8 Insubordination Yes
I Limited Career Growth Yes 9 Employment Contingencies Yes
J Death N/A Zero Failed Drug Test/Refused N/A
K Failure to return from LOA Yes Yes
L Health related Yes Yes
M Military/Retirement Yes Yes
N Conflicts with primary employment/school Yes Yes
O Personal reasons Yes Yes
P No Call, No Show No
Q Walked off job (left during shift)

HR 22-8/07