New Hire Paperwork

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Form filled out Date and time
Personal Information
First Name*
Middle Name(s)
Last Name*
Social Security Number*
First Name Middle Name (If none, write N/A) Last Name
Phone Number*
Email Address*
Birthday*
Street Address*
City*
State*
ZIP Code*
Street Address City State ZIP Code
Emergency Contact
First Name*
Last Name*
Relation*
Other
Phone Number*
First Name Last Name Relationship
- Same address as above
Street Address*
City*
State*
ZIP Code*
Street Address City State ZIP Code

Employee Direct Deposit Authorization Form
Name:
First Last
Social Security Number
Bank Name:*
Account #1*
Account Type
Bank Routing Number (ABA #)
Account Number
Percentage/dollar amount to be deposited to Account #1
Upload a Copy of a VOIDED check or Deposit Slip
Please upload a copy of a VOIDED check or deposit slip with your bank's routing number and your account number.
Would you like to add another account? If you select yes, the remainder of your paycheck will be deposited to Account #2
- Yes
Bank Name:*
Account #2*
Account Type
Bank Routing Number (ABA #)
Account Number
Upload a Copy of a VOIDED check or Deposit Slip (2)
Please upload a copy of a VOIDED check or deposit slip with your bank's routing number and your account number for this second account.
This authorizes, Gold Medal Swim School, herein referred to as “The Company” to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the “Account”). This authorizes the financial institution holding the Account to post all such entries. I agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization will be in effect until The Company, Gold Medal Swim School receives a written termination notice from myself and has a reasonable opportunity to act on it.

I recognize, acknowledge and accept that this service is being provided for my convenience. As such, I agree to The Company and each participating bank harmless from any claim incident to the operation of this plan arising from any act or omission by The Company including, without limitation, a claim based on an alleged loss as a result of non-credit of any deposit, and any claim which may be made by me as a result of the rejection of any debits because of insufficient funds arising from the failure to credit deposits to my account. I further understand that should I change, or close the account given to The Company and fail to notify The Company in writing prior to the initiation of the credit, I will be charged a bank fee of no less than $15.00 to reprocess the payment owed to me. In addition, I understand that direct deposit should take effect the second pay period after submitting this authorization. I understand and recognize that it is ultimately my responsibility to verify if I have received either a regular “live” check or direct deposit.
*
- I agree to the terms above regarding direct deposit

Employer Request for Disclosure of Wage Assignment Order to Provide Child Support
Arizona Revised Statute 23-722.02, states that after an employee is hired, rehired or returns from an unpaid leave of absence, the employer shall request that the employee disclose whether the employee is subject to a wage assignment order to provide child support. If the employee is subject to a wage assignment order to provide child support, they shall provide a copy of the order of assignment to the employer.
In accordance with the foregoing statute, Gold Medal Swim School requests that every employee disclose whether they are subject to a wage assignment to provide child support. If an employee has multiple orders, the employee shall provide Gold Medal Swim School with a copy of each order. On the disclosure of an obligation to pay child support along with a copy of the order, Gold Medal Swim School shall begin withholding the support payments according to the terms of the order. An employee who is ordered to pay child support and who fails to comply with this request is guilty of a class 3 misdemeanor.
Are you subject to a wage assignment order to provide child support?*
Are you subject to a wage assignment order to provide child support?
- Yes
- No
Child Support Order of Assignment
Accepted file types: jpg, pdf, png, doc, docx.
By submitting this form, I certify that the information presented in this request is true and accurate.

Employee Bio
Why do you LOVE teaching?*
What is your favorite food/drink?*
What is a little known fact about YOU?*

Please read and sign below
This Employee Handbook describes important information about GMSS and I understand that I should consult my supervisor regarding any questions not answered in the handbook.

I have entered into my employment relationship with GMSS voluntarily and acknowledge that there is no specified length of employment. Accordingly, either GMSS or I may terminate the employment relationship at will at any time, with or without cause, so long as there is no violation of applicable federal or state law.

Since the information, policies, and benefits described in the handbook are subject to change as needed, I acknowledge that revisions to the handbook may occur, except to the employment-at-will policy of GMSS. All such changes will be communicated through official notices, and I understand that revised information may supersede, modify, or eliminate existing policies. I also understand that only the Owner has the ability to adopt revisions to the policies in this handbook.

Furthermore, I acknowledge that this handbook is neither a contract of employment nor a legal document. I have received the handbook, and I understand that it is my responsibility to read and comply with the policies contained in this handbook and any revisions made to it.
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
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