Little Azio New Hire Checklist

Little Azio New Hire Checklist
Employee Name:
Location:
Start Date:
Position:
Hiring Manager:
Pay Rate:
Paperwork Required
Employment Application
Issue Employee Number - #
.
Verify Social Security number using checklist
Attach 2 copies of 2 acceptable IDs
W-4 Form (Federal & State)
Check I-9 Form, complete section 2 and Sign
Uniform Agreement
Employee Handbook – Signed Receipt
Training Manual – Signed Receipt
Employee Permits (liquor card, serve safe certificate, etc. if applicable)
Double-check new employee has completed and signed all forms
Manager signature
Date
.
.
Little Azio - Application for Employment
(We are and equal opportunity employer)
Employee Name:
Location:
Applicant’s Statement
I understand that the Company is committed to providing equal opportunity in all employment practices,
including but not limited to selection, hiring, promotion, transfer and compensation to all qualified applicants
and employees without regard to age, race, color, national region, sex, religion, handicap or disability or
any other category protected by federal, state or local law.
In making this application for employment, I understand that the Company may investigate my driving
record, criminal and/or consumer report (credit reports).
I authorize former and present employers, work and personal references listed in the application, and any
other individuals I may name, to give the Company any and all information concerning my previous
employment and any pertinent information they may have, personal or otherwise, and release such parties
from all liability for any damages that result from furnishing same to the Company. I also authorize the
Company to provide truthful information concerning my employment with it to future employers, and I agree
to hold it harmless for providing such information.
I understand that the Company reserves the right to the extent permitted by law, to require drug screening
tests of an applicant or an employee either prior to employment or any time during employment, I hereby
give my consent to any such test. I consent to the release of the results of any such tests to the Company
or its designee. I release the Company and its designee from any and all liability and damages which may
result or arise from any drug test or the provision of information connection with such a test.
Should I be employed, I understand that my employment will be on a trial period for ninety days from the
date of my hiring. I further understand that, if I am employed, I can terminate my employment at any time
with or without cause and with or without advance notice, and that the company has a similar right. I
understand that no manager, representative or agent of the company has authority to enter into any
agreement for employment for any specified period of time, or to make any agreement contrary to the
foregoing, except that a corporate office may do so in writing.
The information given by me on this application and during the interview process is true and complete in all
respects, and I agree that if the information is found to be false, misleading or unsatisfactory in any respect
(in the Company’s judgment) that I will be disqualified from consideration for employment or subject to
immediate dismissal if discovered after I am hired.
I certify that I am 18 years or age or older and that I am legally entitled to work in the United States and can
provide proof if necessary.
THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU
WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. DO NOT
SIGN UNTIL YOU HAVE READ AND UNDERSTOOD THIS STATEMENT.
Applicant’s signature
Date
.
.
RULES & REGULATIONS
EMPLOYEE INVOLVED IN ANY OF THE FOLLOWING CONDUCT MAY RESULT IN DISCIPLINARY
ACTION UP TO AND INCLUDING IMMEDIATE TERMINATION WITHOUT A WRITTEN WARNING.
1. Invalid Work Authorization (I-9 form)
2. Supplying false or misleading information to the Restaurant, including information at the time of
application for employment, leave of absence or sick pay.
3. Not showing up for a shift without notifying the Manager on duty. (No call, no show, no job)
4. Clocking another employee “in” or “out” on the Restaurant timekeeping system or having another
employee clock you either “in” or “out.”
5. Leaving your job before the scheduled time without the permission of the Manager on duty.
6. Disorderly or indecent conduct.
7. Theft of customer, employee or Restaurant property including items found on Restaurant premises.
8. Theft, dishonesty or mishandling of Restaurant funds. Failure to follow cash, guest check or credit
card processing procedures.
9. Refusal to follow instructions.
10. Engaging in harassment of any kind toward another employee or customer.
11. Failure to consistently perform job responsibilities in a satisfactory manner within the 30 day
orientation period.
12. Use, distribution or possession of illegal drugs on Restaurant property or being under the influence
of these substances when reporting to work or during work hours.
13. Waste or destruction of Restaurant property.
14. Actions or threats of violence or abusive language directed toward a customer or another staff
member.
15. Excessive tardiness.
16. Habitual failure to punch in or out.
17. Disclosing confidential information including policies, procedures, recipes, manuals or any propriety
information to anyone outside the Restaurant.
18. Rude or improper behavior with customers including the discussion of tips.
19. Smoking or eating in unapproved areas or during unauthorized breaks.
20. Not parking in employee designated parking area.
21. Failure to comply with Restaurant’s personal cleanliness and grooming standards.
22. Failure to comply with Restaurant’s uniform and dress requirements.
23. Using restaurant telephone during scheduled hours without managements permission.
24. Unauthorized operation, repair or attempt to repair machines, tools or equipment.
25. Failure to report safety hazards, equipment defects, accidents or injuries immediately to
management.
Applicant’s signature
Date
.
.
Uniform Agreement
As an employee you are required to wear a uniform while on duty. You will be issued an appropriate
amount of shirts at no cost at the time of hire. It will be your responsibility to maintain them so that
they are always clean at the beginning of your shift.
I have received
shirts and
Hats.
.
Applicant’s signature
Date
.
.
Direct Deposit Form
Name of Employee
.
Date of hire
.
Name of Bank
.
Bank Phone Number
Type of Account
.
Checking
Savings
Other
.
Bank Account Number
.
Routing Number
.
Staple Voided Check
Or Staple Withdraw Slip Here >>>
.
I understand the direct deposit procedures and authorize my payroll funds to be transmitted
electronically directly into my account as described above.
Applicant’s signature
Date
.
.
PANEL OF PHYSICIANS/CLINICS
Piedmont Minor Emergency Clinic
3115 Piedmont Road
Atlanta, GA 30305
404.237.1755
Piedmont Hospital Emergency Room
1968 Peachtree Road
Atlanta, GA 30309
404.605.3297
Peachtree Orthopedic Clinic
2001 Peachtree Road
Suite #705
Atlanta, GA 30309
404.355.0743
Howell Industrial Clinic
730 Peachtree Road
Atlanta, GA 30309
404.881.1155
Murry, McDonald and Apple (Orthopedic)
2001 Peachtree Road
Suite #400
Atlanta, GA 30309
404.352.2234
PANAL OF PHYSICIANS ACKNOWLEDGEMENT
I have read my employer’s panel of physicians/clinics. I understand that if I am injured on the job I
must seek medical treatment from a physician or clinic listed on this panel. In the case of an
emergency, I understand that I may seek treatment from any qualified physician of medical facility,
but any follow-up care must be provided by one of the physicians or clinics on the panel.
Applicant’s signature
Date
.
.