Employee's Name: _____________________ Date of Employment: ____________

Job Title: ____________________________ Program ______________________

Supervisor: ___________________________

__________ Mission/Core Values/Program Descriptions

__________ United Way Agency

__________ EOE/AA

Salary Information

__________ Payment of salary-when and how

__________ Payment of overtime

__________ Timecard procedure

__________ Direct Deposit

__________ Sunshine Fund Policy

Benefit Information

__________ Medical insurance coverage and enrollment

__________ Dental insurance coverage and enrollment

__________ Life insurance coverage and enrollment

__________ Long-term disability insurance

__________ Short-term disability insurance

__________ COBRA

__________ EAP

__________ Leave benefits

__________ Holidays

__________ Retirement benefits

__________ Education/Training

General Information

__________ Performance Review/Salary increases/PEP form

__________ Introductory period

__________ Job Posting

__________ Introduction to Board

__________ Site Tour

Policies

__________ Drug-Free Workplace

__________ Smoking policy

__________ Personnel file/Changes in personal information

__________ Personal calls

__________ Personal appearance and dress

__________ Punctuality/Reporting when absent

__________ Parking

__________ Code of Conduct

__________ Harassment Policy

Property Concerns

__________ Reporting safety hazards

__________ Reporting work related injuries/illness

__________ Location of exits

__________ Location of fire extinguishers

__________ Location of first aid kits

__________ Emergency shutdown of facilities

__________ Tour of 1608 Woodmont Building

__________ Application for employment

__________ Letter of hire

__________ New Hire Checklist

__________ Property Request Form

__________ Confidentiality

__________ Acknowledgement Form

__________ Verification of Education

__________ W-4 Federal tax withholding

__________ 1-9 verification

__________ Emergency Contact form

__________ Health Insurance____ application ______waiver

__________ Dental Insurance Application

__________ Life Insurance Application

__________ Sunshine Fund policy agreement

__________ Short-/Long-Term Disability Insurance Application

___________________________ _________________________

Human Resources Representative Date

My signature below indicates that the items checked above have been covered with me during my new employee orientation.

___________________________ _________________________

Signature of New Employee Date