4002 New Hire Sheet

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* 1. Employee's Name

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* 2. Hired By

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* 3. Start Date

Date

Date

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* 4. Position

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* 5. Pay Rate

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* 6. Future Promises / Goals

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* 7. Referred By

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* 8. Shirt Size

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* 9. Do you need health insurance at 90 days of employment?

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* 10. Emergency Contact Name

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* 11. Relationship to Emergency Contact

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* 12. Number for Emergency Contact

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* 13. Are you subject to to School District Tax?

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* 14. District Name and # (if known)

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* 15. I understand no bonus is a guaranteed part of my pay. All bonuses are merit based and are paid at the discretion of the company.

All employees are hired on a 90-day probationary period. If at any time during the 90 days the new employee is deemed unsuitable for the job that is required, that employee can be let go by any member of the OVE management team. After the 90-day probationary period has passed, the new employee will begin to follow the current standards and the three -strike policy.

I understand that Ohio Valley Excavating holds the rights to post all workplace pictures on social media. These images may include past and present employees.

Signature is required below

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* 16. Direct Deposit Information

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* 17. Name of your Bank

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* 18. Routing Number

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* 19. Bank Account Number

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* 20. I authorize Ohio Valley Excavating to withhold from my compensation $75.00 for my personal protective equipment if I do not stay with Ohio Valley Excavating for 30 days.

If a Climber Hard Hat has been distributed to me, the with holding amount will be $125.00.

I understand that my signature below indicates that I have read and understand the above statement.

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* 21. Date

Date

Date

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* 22. In the event OVE needs you to be on a secure job site; Example Google, are you able to pass a national background check?

Yes

No