1. New Employee Form
Personal Information
Date Name (Last, First, Middle)
Address City State Zip
Phone Number: _____________________ E-mail: ___________________________________
Shift Preference: (please rank) _____1st Shift _____2nd Shift _____3rd Shift
Uniform Size in Shirt/Polo Style:
Small______ Medium_____ Large______ Xtra-Large______

2. Emergency Contact Information
Please state any medical history & conditions for Emergency Purpose Only:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Emergency Contact Information:
1) Full Name: _________________________________________________________
Relationship: _______________________________________________________
Primary Phone Number: ______________________________________________
Additional Contact Information: ________________________________________
2) Full Name: _________________________________________________________
Relationship: ______________________________________________________
Primary Phone Number: ______________________________________________
Additional Contact Information:________________________________________