We take the hassle out of hiring!
We take the hassle out of hiring!
PO BOX 15
White House, TN. 37188
615-681-1322
EMPLOYMENT
APPLICATION
NAME:
PREVIOUS WORK HISTORY:
COMPANY NAME/CITY, STATE
PHONE
DATES OF EMPLOYMENT
REFERENCES
NAME
RELATIONSHIP
PHONE
IF YES, PLEASE EXPLAIN:
HAVE YOU EVER BEEN CONVICTED OF OR PLEAD GUilTY TO A FELONY OR MISDEMEANOR OTHER THAN A MINOR TRAFFIC VIOLATION?
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
EMERGENCY CONTACT - NAME/PHONE:
HIGHEST LEVEL OF EDUCATION:
SCHOOL ATTENDED:
MAJOR:
PO BOX 15
White House, TN. 37188
615-681-1322
EMPLOYMENT
APPLICATION
Statement and Consent:
I certify that the answers I provided, are true and correct to the best of my knowledge. I understand that any omission or falsification of material fact on this application, shall be grounds for rejection, or immediate termination, if I am employed, regardless of the time lapse before discovery. I understand that I am not guaranteed employment, and that any employment relationship may be terminated at will for any, or no reason.
I authorize Workforce Strategies, LLC, and any of its affiliated companies to represent me and to verify my references and/or education to determine my complete qualifications for any position for which I am being considered.
I certify that I have read, understand, and agree with the above.
Signature:
Date:
Signature:
Printed Name:
PO BOX 15
White House, TN. 37188
615-681-1322
Authorization for Direct Deposit Employee Form
I authorize Workforce Strategies, LLC to send credit entries or appropriate debit and adjustment entries, by electronic or other commercially accepted methods. I authorize such entries to my (our) account indicated below. This authorizes the financial institution holding the account to post all such entries.
Signature:
Printed Name:
Account Type (Pick One):
Account Number:
Routing Number:
Date:
Chase
@
PO BOX 15
White House, TN. 37188
615-681-1322
Paystub Statement
Effective: 10/3/2016
Workforce Strategies, LLC, will email paystubs. Please provide your name and email address printed below. Thank you very much.
Employee Name:
Email Address:
PO BOX 15
White House, TN. 37188
615-681-1322
WFS 2-001.
Drug & Alcohol Testing
Part 1
Purpose
To establish company policy as it pertains to substance use/abuse. Outline policy and procedure for conducting drugs/alcohol testing as it pertains to pre-employment, post accident, random, and reasonable suspicion.
Policy
Workforce Strategies, LLC, strives to provide a safe, productive, drug-free workplace for our employees and our clients. It is the policy of this company that no employee shall have on their person or in their body any substance or chemical metabolite that may impair their ability to safely and effectively perform their job. This includes but is not limited to: alcohol, illicit drugs, and/or narcotic prescription medication. Additionally, no employees shall have alcohol and/or drugs/narcotic medication on the ​Workforce Strategies, LLC, property, or the property of any ​Workforce Strategies, LLC, client.
Any employee found to possess or be under the influence of an impairing substance, (as described above) will be subject to disciplinary action resulting in immediate termination.
Effective: 06/16/2014
Procedure for Testing
1. All prospective employees of Workforce Strategies, LLC, will be required to submit to a pre employment drug test at an approved testing facility. Should the candidate receive a presumptive positive they will be given the option for additional testing, at their expense.
Employee Initials of Acceptance:
PO BOX 15
White House, TN. 37188
615-681-1322
WFS 2-001.
Drug & Alcohol Testing
Part 2 (Continued)
Employee Acknowledgment:
My signature below indicates that I have read, been given the opportunity to ask questions, and understand the
above policy.
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I also understand that duly-authorized company officers, employees and agents will have access to information furnished or obtained in connection with testing procedures. Any information obtained will be maintained in a confidential manner in accordance with company policy and established legal regulations. Information obtained under this policy will only be disclosed to the extent necessary to make employment decisions, and in response to inquiries/notices from government agencies, or as determined by law.
I agree to submit to drug and/or alcohol testing and to furnish a sample of my urine, breath or blood for analysis as required for testing. I understand that my specimen may be tested via on-site device or sent to a laboratory for testing. I will hold harmless the company and its agents (testing facility, testing personnel, laboratory) for any adverse hiring decisions that may result, such as loss of employment, due to testing results or procedures.
I will further hold harmless the company and its agents (testing facility, testing personnel, laboratory) for any adverse events that may result from information used or released from the drug/alcohol testing so long as they release of information is within the scope of this policy and procedure.
Signature:
Date:
Printed Name:
Company Representative:
Date:
PO BOX 15
White House, TN. 37188
615-681-1322
Effective: 06/16/2014
WFS 2-002.
Workplace Injury Reporting
Purpose
To establish company policy as it pertains to reporting workplace injuries.
Policy
Workforce Strategies, LLC, strives to provide a safe, productive, drug-free workplace for our employees and our clients. It is the policy of this company that every employee shall follow established OSHA/TOSHA guidelines for safety procedures. Additionally, each employee will follow the safety policies established by the client to which they are assigned. Violation of any regulatory or company safety policy Will result in disciplinary action up to, and including termination.
Employees are required to report all injuries, no matter how insignificant it may seem at the time. Additionally, employees are to report any information about an injury that they witness.
Procedure for Reporting an Injury
1. When an injury occurs, the area supervisor at the assigned job site should be notified immediately, and then the Workforce Strategies' employee should contact the office or the on call administrator via the cell phone number published.
Signature:
Date:
Printed Name:
Company Representative:
Date:
Tardiness
1. All Employees should consistently report on time for work to ensure that workflow is not interrupted.
2. Any employee who clocks in 1minute after the beginning of the shift is considered tardy. Ex: 7:00 shift start, clock in at 7:01
3. Any employee with more than 2 tardies will be subject ot disciplinary action.
PO BOX 15
White House, TN. 37188
615-681-1322
Effective: 06/16/2014
WFS 2-003.
Attendance Policy
Part 1
Purpose
To establish company policy as it pertains to attendance, tardiness, no call/no show, calling out.
Policy
Workforce Strategies, LLC strives to provide dependable, work ready employees to our clients. It is the policy of this company that every employee shall report regularly as assigned and on time. In the event the employee is unable to report to work they must follow the established call out procedure.
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Any employee who does not adhere to the attendance policy/procedure will be subject to disciplinary action up to and including termination.
General Attendance
1. All employees are expected to be at the assigned work location for assigned shifts as scheduled, including overtime shifts.
2. Employees should arrive 15 minutes prior to the beginning of the shift.
Ex: Arrive at 6:45 for a 7:00 shift start.
PO BOX 15
White House, TN. 37188
615-681-1322
WFS 2-003.
Attendance Policy
Part 2 (Continued)
Calling Out
1 In the event an employee is unable toreport to work they must call to notify the Workforce Strategies
office AND the supervisor at the assigned job site.
2. Call out notice should be given a minimum of 2 hours prior ot the beginning of the shift so that sufficient replacement may be found if needed.
3. Any employee who calls out 2 or more days due to illness will be required to provide a written doctors note.
No Call No Show
1. Any employee who failsto arrive at the assigned job location for a scheduled shift and does not call out as outlined above (see Calling Out) will be terminated for No Call No Show.
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My signature below indicates that I have reviewed this policy, had the opportunity to ask questions, and understand my responsibility asit pertains to this policy.
Signature:
Date:
Printed Name:
PO BOX 15
White House, TN. 37188
615-681-1322
WFS 2-006.
Benefits and Special Payments for Contract to Hire Employees
Purpose
To establish company policy and outline any available employment benefits and guidelines for special payments.
Policy
Workforce Strategies, LLC, provides direct hire recruiting services, and contract employees to our clients in various industries. Our contract employees are, in general, employed for a 90-day term, with no term longer than six months
The items listed below are not available to any contract employee or direct hire candidate through Workforce Strategies, LLC:
* Insurance - health, dental, vision, life, or other supplemental policies
* Paid time off
* Retirement programs – 401(k), IRA, or Pensions
* Paid sick time
* Paid holidays
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Special payments, including, but not limited to, jury duty
Employees will be allowed excused absence from their job site for the service of jury duty. The jury duty summons must be provided to Workforce Strategies, LLC, no later than the day after it is received by the employee. Employees who fall under contract status, and are expected to be employed for less than six months, will not be eligible for compensation, in addition to what is paid by the court.
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My signature below indicates that I have reviewed this policy, had the opportunity to ask questions, and understand my responsibility asit pertains to this policy.
Signature:
Date:
Printed Name:
Effective: 01/01/2020
PO BOX 15
White House, TN. 37188
615-681-1322
SEXUAL HARASSMENT BROCHURE
Part 1
Employee Notice
Sexual harassment is prohibited by this Company and is against the law. Every employee should be aware of:
* What is sexual harassment?
* What steps to take if harassment occurs
* State law prohibiting retaliation for reporting sexual harassment.
Please read this information sheet. If you have any questions or concerns about it, contact your supervisor, personnel department representative or your investigative officer for further information
How to Stop Sexual Harassment
1. When possible, simply tell the harasser to stop.
The harasser may not realize the advances or behavior are offensive. When it is appropriate and sensible, simply tell the harasser the behavior or advances are unwelcome and must stop.
2. You are strongly encouraged to report sexual harassment. Contact your supervisor, another manager or the human resources department representative.
Sexual harassment or retaliation should be reported in writing or verbally. You may report such activities even though you were not the subject of harassment.
3. An investigation will be conducted Workforce Strategies, LLC, will investigate, in a discreet manner, al reported incidents of sexual harassment and retaliation.
4. Appropriate action will be taken
Where evidence of sexual harassment or retaliation is found, disciplinary action, up to and including termination, may result.
What Is Sexual Harassment?
Although many people think of sexual harassment as involving a male boss and a female employee, not all sexual harassment is done by males. Sexual harassment often involves co-workers, other employees of Workforce Strategies, LLC, or other persons doing business with or for Workforce Strategies, LLC. It's against the law for females to sexually harass males or other females, and for males to harass other males or females.
PO BOX 15
White House, TN. 37188
615-681-1322
SEXUAL HARASSMENT BROCHURE
Part 2 (Continued)
Harassers Are Personally Liable
If you, as an employee, are found to have engaged in sexual harassment, or if you as a manager know or should have known about the conduct and condone or ratify it, you may be personally liable for monetary damages. This Company wil not pay damages assessed against you personally.
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In addition, this Company will take appropriate disciplinary measures - termination is one possible action against any employee who engages in sexual harassment.
Federal Law
Under federal law, unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature constitute sexual harassment when:
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1. Submission to such conduct is made eitherexplicitly or implicitly a term or condition of an individual's employment;
2. Submission to or rejection of such conduct by an individual is used as the basis for employment decisions affecting such individual; or
3. Such conduct has the purpose or effect of unreasonably interfering with an individual's work performance creating an intimidating, hostile, or offensive working environment
Protection Against Retaliation
Company policy and state law, forbid, retaliation against any employee, who opposes sexual-harassment, files a complaint, testifies, assists or participates in any manner in any investigation, proceeding or hearing conducted by Workforce Strategies, LLC, the department of fair employment, and housing or the fair, employment and housing commission.
Prohibited retaliation includes, but is not limited to:
* Demotion
* Suspension
* Failure to hire or consider for hire
* Failure to give equal consideration, and making employment decisions
* Adversely affecting working conditions or otherwise, denying any employment benefit to an individual
SEXUAL HARASSMENT BROCHURE
Part 3 (Continued)
PO BOX 15
White House, TN. 37188
615-681-1322
Signature:
Date:
Printed Name:
Additional Information
The Department of Fair Employment and Housing (DFEH) is the state agency that resolves complaints of unlawful discrimination, including sexual harassment. After a complaint is filed, the DFEH has one year to investigate the complaint.
The Fair Employment and Housing Commission (FEHC), decides cases prosecuted by the DFEH at the state level.
To contact the DFEH, consult your local telephone directories under State Government Offices, or ask directory assistance for the number of Department of Department of Fair Employment and Housing headquarters.
The Equal Employment Opportunity Commission (EEOC) is the federal agency that resolves sexual harassment claims. To contact the commission, consult director assistance for Washington, D.C. or right to Equal Employment Opportunity Commission, 1801 L St. NW. Washington, D.C. 20507.
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I have read the above information. I've had opportunities to ask questions and acknowledge my understanding. I further acknowledge that I understand how to report any incidents of sexual harassment to my employer and assigned work location.
THE WITHHOLDING OF BACKGROUND AND DRUG TEST FEES
PO BOX 15
White House, TN. 37188
615-681-1322
I,
do authorize Workforce Strategies, LLC to withhold $82.00 ($17.00 Background check and $65.00 Drug test) from my first pay check. I understand the initial drug test and background check may be performed at any time during my first 30 days of employment and/or on a random basis.
The fees that are withheldwill be refunded ot me on the pay period following the 30th work day from my effective start date. If my employment is terminated due to attendance or disciplinary reasons before the end of the 30th day, or I elect to leave employment voluntarily the fee will not be reimbursed.
Signature:
Date:
Printed Name:
AUTHORIZATION FOR BACKGROUND CHECK
Part 1: Acknowledgement
PO BOX 15
White House, TN. 37188
615-681-1322
Please read and sign this form in the space provided below. Your written authorization is necessary for completion of the application process.
I hereby authorize WORKFORCE STRATEGIES, LLC to procure a consumer report and/or investigative report on me.
The above mentioned reports may include but are not limited to information as to my character, general reputation, discerned through employment verification, education verification, personal references, personal interviews, credit history (only if applicable to the position), based on reports from credit bureau, driving records social security number verification, current/former addresses, criminal and civil history and/or any other public records.
I understand that I am entitled to a complete and accurate disclosure of the nature and scope of any investigative consumer report of which I am the subject by making written request.
I further authorize any person, business entity or government agency who may have information relative to the above to disclose the same to Workforce Strategies, LLC, or their agent.
I hereby release Workforce Strategies, LLC and/or their agent acting on their behalf from any and all liability, claims and demands by me, my heirs, or others making a claim on my behalf for providing a consumer/investigative report.
I understand that Workforce Strategies, LLC, will utilize an outside firm or firms for the purpose of this authorization. I specifically authorize such an investigation by information services and outside entities of the company's choice.
I understand that this authorization/release shall remain in effect for the duration of my employment with Workforce Strategies, LLC. I also understand that my report may be disclosed to my prospective work assignment manager (Client).
I certify that the information contained in this form is true and correct. Any false or omitted information will result in adverse hiring decisions.
Signature:
Date:
Printed Name:
AUTHORIZATION FOR BACKGROUND CHECK
Part 2: Information
PO BOX 15
White House, TN. 37188
615-681-1322
First Name:
Last Name:
Other Names(alias, maiden, nickname)
Current Address:
Former Address 1:
Former Address 2:
Social Security Number:
DOB:
Gender:
Driver's License Number:
DL State of Issuance:
Have you ever been convicted of a crime or military court martial?
Are you currently under investigation or have a pending charge?
Paystub Retrieval Instructions
Please copy/print this information and save.
PO BOX 15
White House, TN. 37188
615-681-1322
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All paystubs will be emailed to the employees weekly once payroll has been submitted.
When you open your email with the paystub attached you will be asked to enter a password that has been generated for you.
The password is the first four letters of your last name, and the last four numbers of your Social Security number. (All lowercase)
Example:
Name: Bill Jones
Social Security number: 123-12-5478
Password: jone5478
Pay Period Information:
1. Pay period starts on Sunday and ends on Saturday.
2. Paystubs will typically be emailed on Wednesday, and pay deposits are on Friday.
*** Some pay periods, stubs and deposits, will be on alternate days due to holidays when banking institutions are closed. ***
3. Exact deposit day/time is dependent on your specific banks processing schedule.