New Hire Form

Employee’s Personal Information – copy of license required

Date of hire: ___________________________________________________

Rate of Pay/Salary: ______________________________________________

Employee name:______________________________________________

Address: ___________________________________________________

___________________________________________________

Home phone: ______________________________________________

Cell phone: ______________________________________________

Email address: ______________________________________________

Social Insurance Number: _________________________________________

Date of Birth: ___________________________________________________

Emergency Contact Information

Name: DAVID MAURICIO GONZALEZ ROA

_____________________________________________________

Home phone: +573177810712

________________________________________________

Cell phone: +573177810712

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FIANCE
Relationship to employee:___________________________________________

Banking Information – please provide void check or direct deposit form.