New Hire Paperwork New Hire Paperwork Step 1 of 5 20% This field is hidden when viewing the formForm filled out Date and timePersonal InformationFirst Name*Middle Name(s)Last Name*Social Security Number*This field is hidden when viewing the form First Name Middle Name (If none, write N/A) Last Name Phone Number*Email Address* Birthday*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Street Address*City*State*ArizonaAlabamaAlaskaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code*This field is hidden when viewing the form Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency ContactFirst Name*Last Name*Relation*----------------------------------MotherFatherSiblingChildSpouseSignificant OtherGrandparentAuntUncleRoommateOtherThis field is hidden when viewing the formOtherPhone Number*This field is hidden when viewing the form First Name Last Name Relationship Same address as above Street Address*City*State*ArizonaAlabamaAlaskaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code*This field is hidden when viewing the form Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Authorization to Share Contact InformationAuthorization for Contact (Phone number and email) Sharing for Shift Coverage*I grant permission to Gold Medal Swim School to share my phone number and email address among Gold Medal Swim School staff members. This consent aims to facilitate finding substitutes for shift coverage when necessary. The shared information will be used solely for shift coverage purposes and in compliance with company policies. Any unauthorized use or distribution of shared information will be subject to appropriate disciplinary actions.Please SelectI DO grant permission to share my contact information among GMSS staff members for the purpose of finding staff for shift coverage.I DO NOT grant permission to share my contact information among GMSS staff members. Employee Direct Deposit Authorization Form This field is hidden when viewing the formName: First Last This field is hidden when viewing the formSocial Security NumberBank Name:*Account #1*Please SelectCheckingSavingsAccount Type Bank Routing Number (ABA #)*Bank Routing Number (ABA #)Account Number*Account NumberPercentage/dollar amount to be deposited to Account #1*Percentage/dollar amount to be deposited to Account #1Upload a Copy of a VOIDED check/Deposit Slip/Screenshot of your banking informationPlease upload a copy of a VOIDED check, deposit slip, or screenshot of your banking information with your bank's routing number and your account number.Max. file size: 500 MB. 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*Please SelectCheckingSavingsAccount TypeBank Routing Number (ABA #)Bank Routing Number (ABA #)Account NumberAccount NumberUpload a Copy of a VOIDED check/Deposit Slip/Screenshot of your banking information (2)Please upload a copy of a VOIDED check, deposit slip, or screenshot of your banking information with your bank's routing number and your account number.Max. file size: 500 MB. 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.After your bank account information has been successfully linked to your employee profile by our accounting department, you will receive an email from Inuit Payroll Services. This email will guide you through the process of setting up your Workforce Employee Account. This email is time-sensitive. Please monitor both your inbox and junk email folder to promptly access and create your employee account.* I agree to the terms above regarding direct deposit. I understand I will receive a time-sensitive email and must create a Workforce employee account to access by direct deposit information. 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?*Please SelectYesNoThis field is hidden when viewing the formAre you subject to a wage assignment order to provide child support? Yes No Child Support Order of AssignmentAccepted file types: jpg, pdf, png, doc, docx, Max. file size: 500 MB. 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 belowThis 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* CAPTCHA