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  • Orientation Packet

  • Personal Information

  • Date of Birth:*
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  • Clear
    • Pay Rate 
    • If Language is English PayRate
    • I9 
    • ID Type 2
    • ID Type 3
    • Date I9 Authorized
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    • Hire Date - I9
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    • Important Calculations 
    • Are you at least 18 years old
    • Urban Youth Hidden Mapped Fields 
    • Age Range 16-17 Yes/No
    • Age Range 18-24 Yes/No
    • Hidden Mapped Fields 
    • Master Date
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    • ID Type 4 state ID
    • Age at least 18*
    • Rows
    • CHRC 
    • Date1
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    • W4 & I9

    • Tax Marital Status*
    • HM -Tax Marital Status
    • Are you a resident of New York City?*
    • Are you a resident of Yonkers?*
    • Are you a U.S. Citizen?*
    • Are you a lawful permanent resident?*
    • Are you an alien authorized to work?*

    • **Sorry, we cannot accept your application at this time. Please start your application over again**

    • Have you been convicted of a crime other than a traffic violation?*
    • Have you had a final finding of patient abuse?*

    • Consumer/Patient Information

    • Consumer Date of Birth:*
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    • What is your primary language?*
    • Do you speak any other languages?*
    • What additional languages do you speak?*
    • Do you have any physical condition which may limit your ability to perform your essential job function?*

    • Quiz 1

    • Quiz 2

    • 5. AIDS is caused by which virus?*
    • 6. Biological hazardous waste bags should be what color?*
    • 8. How often should Exposure Control Plans be reviewed and updated?*
    • 9. Hepatitis B and Hepatitis C attack which organ:*
    • 12. The Hepatitis B Vaccination has been proven to prevent the disease in approximately what percentage of those receiving thevaccine.*

    • Quiz 3

    • 1. When an individual is made to feel uncomfortable in the workplace because of name-calling, racial slurs, and bullying, this is an example of*
    • 2. What do you call inappropriate actions in the workplace that can lead to harassment? This includes profane language, failing to return calls or emails, etc:*
    • 3. An African American construction worker was denied a promotion because his employer has a bias against non-Caucasian employees. The construction worker was discriminated against based on his:*
    • 4. Which of the following is NOT an effect of workplace harassment and discrimination?*
    • 5. There are state and federal laws in place to protect employees against harassment and discrimination in the workplace:*
    • 6. A supervisor requires sexual favors from his secretary in exchange for a raise. What kind of harassment is this?*
    • 7. Which of the following should you NOT do when responding to incivility?*
    • 8. What do you call a bystander that responds to a situation "in the moment" or "after the fact"?*
    • 9. Any employee who witnesses harassment in the workplace can file a complaint:*
    • 10. If you experience any form of workplace harassment or discrimination first hand, what should you do*

    • Policies

    • Training Received:*
    • Documents completed, signed, and received:*
    • Do you have any beneficiary to include?*
    • Date of Birth:*
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    • Date of Birth:*
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    • Date of Birth:*
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    • Payment - Direct Deposit

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    • Covid-19 Screening Questionnaire

    • Have you travelled outside of the United States in the last 14 days?
    • Have you visited any facilities with confirmed COVID-19 cases (i.e., grocery store, bank)?
    • Does someone you are in close contact with have COVID-19
    • Are you in close contact with someone who is sick with respiratory symptoms?
    • Rows
    • Should be Empty: