of degree - Boly:Welch

Availability to work overtime if needed:
-----------------List any periods of unavailability:
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OF DEGREE
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6/15/2016
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Name:
Company:
Position:
Phone:
Relationship:
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I, the undersigned applicant, authorize Boly:Welch to assist me in securing employment for employer-paid positions only. I understand I am under
no obligation to Boly:Welch. I will not contact any clients without the clearance of my Boly:Welch recruiter or staffing consultant. I hereby give
permission for references to be checked for the purposes of employment and understand that upon my request, if such references have been
secured, Boly:Welch will share that information with me. I will keep Boly:Welch informed about my results of all arranged interviews and will
advise them at once upon acceptance of employment. It is my understanding that any and all information I encounter while working with
Boly:Welch and/or its clients is to be handled in a confidential manner. While on, during, or any time after an assignment, I will not remove, copy,
or share any information including client lists, pricing information, financial information, or any and all information deemed private or confidential.
It is the policy of Boly:Welch to help ensure equal employment opportunity and prohibit discrimination or harassment on the basis of race, color, religion,
age, gender, gender identity, sexual orientation, national origin, citizenship, disability, marital status, pregnancy (including unlawful discrimination on the
basis of a legally protected pregnancy/maternity leave), veteran status, or any other characteristic protected by law.
X
LEGAL
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State:
Date taken:
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State:
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Keyboarding WPM___________
Wish List
We’d like to know what’s important in your job search. Tell us what factors drive you to success, what keeps you up
at night, or what wows you. It might be an ideal company culture, the opportunity to work for a specific industry or
organization, how far you'd travel for work, or how you plan to get there. We want to know it all!
Preferred Location(s)
 Downtown
 NW Portland/Pearl
 SW Portland
 N/NE Portland
 SE Portland
 Beaverton/Aloha/Tigard
 Hillsboro/Forest Grove
 Lake Oswego/West Linn
 Tualatin/Sherwood/Wilsonville
 Gresham/East County
 Happy Valley/Sandy




Vancouver
Newberg/McMinnville
Salem
Oregon Coast
Welcome to Boly:Welch
Thank you for choosing Boly:Welch to assist you in your job search. We appreciate your time and effort in meeting with us.
The following outlines what you can expect from us as your employer and what we expect from all of our temporary
employees. We want to ensure that you are successful while working on assignments with our clients, so please utilize the
guidelines below to help ensure that success. Boly:Welch is committed to finding career opportunities for all qualified
temporary employees.
Boly:Welch As Your Employer
Although temporary assignments are fulfilled at our various client locations, Boly:Welch is considered your employer. All
questions regarding your employment and/or assignment should be directed to a Boly:Welch Staffing Consultant.
Anything related to the actual job function or work flow can be discussed with the client supervisor that you are working
with on your assignment.
Attendance and Punctuality
Punctuality and regular attendance are essential to the success of our business. Please arrive at your assignment 10-15
minutes early. If you are going to be absent, it is your responsibility to notify a Boly:Welch Staffing Consultant at least two
hours prior to your scheduled shift. For late arrival, whenever possible, you are also required to contact a Staffing Consultant
with your estimated arrival time. Scheduled time off will require advanced approval (two weeks prior) from a Boly:Welch
Staffing Consultant. Excessive tardiness or absenteeism (three or more occurrences) may result in grounds for termination.
Unexcused Absence
Failing to report to work without calling in, “No Call No Show”, will result in disciplinary action and grounds for termination
after one day. Failure to report to work without calling in for two consecutive workdays is considered a voluntary termination.
Dress Code
Please abide by the client -specific dress code. Your appearance/attire should always reflect a professional demeanor. If
you have any questions regarding appropriate attire, please ask your Staffing Consultant.
Client Equipment and/or Property
Equipment, supplies, identification cards, badges, company keys, phones, computers and all materials provided by the client
are to be used for business purposes only. You may not take, give or use these materials for any other purposes. All client
equipment, property, and materials are to be returned immediately upon completion or termination of the assignment.
Failure to do so could be considered theft and may result in termination as a Boly:Welch employee.
Payroll Procedures
You will be paid weekly for the time worked while on assignment at any of our client locations. It will be your responsibility to
fill out and turn in a signed timecard each week. Below are the procedures to follow in order to accurately be paid on time.
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Please put one work week on each timecard. This includes all days worked in a seven-day period starting on Monday at
12:01 a.m. and ending on Sunday at midnight.
Make sure to include the dates you worked, the company you worked for, and the last four digits of your social security
number.
Make sure both you and your supervisor sign the timecard.
Turn in your timecard by 5 PM Monday following the week you work. You can either drop it off at our office, e-mail it to
[email protected], or fax it to the accounting department at 503-323-9087 or 360-735-8646. If we don’t
receive your timecard by this time, your paycheck may be delayed.
If you fax in your time card, please call 503-242-1300 or 360-735-8606 to verify that it was received and is legible.
Even if you receive a fax confirmation on your end, it is possible that we received a blank or smudged page. Please
note that faxing a photocopy of your timecard will work much better than trying to put the actual timecard through the
fax machine.
We offer direct deposit for all of our employees. If you are interested please obtain the direct deposit form on our
website and submit the form with a voided check.
Paychecks are available for pickup until 4:00 p.m. each Friday.
→ Please remember to bring I.D. with you when you come to pick up your check. Any paychecks not picked up
by 4:00 p.m. will be placed in the mail that day.
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Paychecks will not be released to anyone other than the Boly:Welch temporary employee without written
authorization from you on the day the check is available. Please call the front desk with questions.
Note: When your assignment ends, be sure to email your availability address so we can get you working again. And make
sure to let us know if you have a change of address so we can send you your W-2 at the end of the year.
If you have any questions regarding payroll please contact our Payroll Department at 503-242-1300 or 360-735- 8606.
Diversity Statement
Boly:Welch is an equal opportunity employer committed to meeting the needs of a multicultural workforce. We will hire the
most talented and capable staff regardless of race, color, religion, age, gender, gender identity, sexual orientation or
disability. We recognize that a diverse work force, reflective of our community is an integral and welcome component of a
successful business model.
Our diversity recruitment activities seek to identify individuals who reflect the local community and companies that we support.
Our recruiters are committed creating an employee base that represents a wide array of skills, talents and backgrounds in
support of our diversity initiatives. We have made diversity recruiting a priority a through partnership with various organizations
and community resources.
Non-Discrimination and Harassment Policy
It is the policy of Boly:Welch to help ensure equal employment opportunity and prohibit discrimination or harassment on the
basis of race, color, religion, age, gender, gender identity, sexual orientation, national origin, citizenship, disability, marital
status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy/maternity leave), veteran
status, or any other characteristic protected by law. Discrimination and sexual and other unlawful harassment are against
our policy and illegal under federal, state, and local laws. We will not tolerate any such discrimination or harassment, whether
committed by management or non- supervisory employees, employees of temporary agencies, vendors, contractors, or
guests. This policy prohibits all such harassing conduct whether done verbally or nonverbally, including through e-mail or
other company electronic systems. Contact the Manager, Human Resources at Boly:Welch for questions or concerns.
Maximizing Your Success
 Be friendly, be a team player and contribute ideas and solutions.
 Start work on time and stay focused on your job responsibilities. Checking personal e-mail or using the internet is
prohibited while on assignment.
 Please refrain from cell phone usage except during designated breaks.
 Follow all workplace safety practices and procedures. Notify Boly:Welch of any on the job injury. All Boly:Welch
employees are required to exercise caution and good judgment while on an assignment. It is required that Boly:Welch
be notified immediately upon injury to ensure prompt resolution. Failure to do so can delay claims processing. All
injuries will also require a drug and alcohol screening upon seeking medical attention.
 Do not drive while on the job without Boly:Welch permission. Contact a Staffing Consultant should this request occur.
 Check in available at [email protected] - Give your name, phone number, position desired and available
dates. Candidates who email to this address will be given first priority for assignments. Please email the availability
address every weekend prior to the week you will be available; failure to email will be considered voluntary deactivation
of your employment status with Boly:Welch.
We are happy to welcome you to the Boly:Welch Team! Our goal is to ensure that you are successful while working on
assignment with our various clients. For a copy of these terms and conditions please see our website at www.bolywelch.com.
~ Boly:Welch Temporary Division ~
Boly:Welch Candidate Printed Name
Boly:Welch Candidate Signature
Boly:Welch Representative Signature
Date
6/15/16
New Health Insurance Marketplace Coverage Options and Your Health Coverage
PART A: General Information When key parts of the health care law took effect in 2014, there is a new way to buy health insurance: the Health Insurance Marketplace. To assist you as you evaluate options for you and your family, this notice provides some basic information about the new Marketplace and employment-­‐based health coverage offered by your employer. What is the Health Insurance Marketplace? The Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace offers "one-­‐
stop shopping" to find and compare private health insurance options. You may also be eligible for a new kind of tax credit that lowers your monthly premium right away. Open enrollment for health insurance coverage through the Marketplace is October 15 to December 7 each year. Special Enrollment periods exist throughout the year if you experience a loss of coverage. Can I Save Money on my Health Insurance Premiums in the Marketplace? You may qualify to save money and lower your monthly premium, but only if your employer does not offer coverage, or offers coverage that doesn't meet certain standards. The savings on your premium that you're eligible for depends on your household income. Does Employer Health Coverage Affect Eligibility for Premium Savings through the Marketplace? Yes. If you have an offer of health coverage from your employer that meets certain standards, you will not be eligible for a tax credit through the Marketplace and may wish to enroll in your employer's health plan. However, you may be eligible for a tax credit that lowers your monthly premium, or a reduction in certain cost-­‐sharing if your employer does not offer coverage to you at all or does not offer coverage that meets certain standards. If the cost of a plan from your employer that would cover you (and not any other members of your family) is more than 9.5% of your household income for the year, or if the coverage your employer provides does not meet the 1
"minimum value" standard set by the Affordable Care Act, you may be eligible for a tax credit. Note: If you purchase a health plan through the Marketplace instead of accepting health coverage offered by your employer, then you may lose the employer contribution (if any) to the employer-­‐offered coverage. Also, this employer contribution -­‐as well as your employee contribution to employer-­‐offered coverage-­‐ is often excluded from income for Federal and State income tax purposes. Your payments for coverage through the Marketplace are made on an after-­‐tax basis. How Can I Get More Information? For more information about your coverage offered by your employer, please check your summary plan description or contact your Plan Administrator at: Boly:Welch 920 SW Sixth Avenue, Suite 100, Portland, Or 97204 The Marketplace can help you evaluate your coverage options, including your eligibility for coverage through the Marketplace and its cost. Please visit HealthCare.gov for more information, including an online application for health insurance coverage and contact information for a Health Insurance Marketplace in your area. 1 An employer-­‐sponsored health plan meets the "minimum value standard" if the plan's share of the total allowed benefit costs covered by the plan is no
less than 60 percent of such costs. PART B: Information About Health Coverage Offered by Your Employer This section contains information about any health coverage offered by your employer. If you decide to complete an application for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the Marketplace application. Employer Name: Boly:Welch Employer EIN: 93-­‐1015755 Employer Address: 920 SW Sixth Avenue, Suite 100, Portland, Or 97204 Employer Phone: 503.242.1300 Email address: [email protected] Who can we contact about employee health coverage at this job? Karen Fogg Here is some basic information about health coverage offered by this employer: • As your employer, we offer a health plan to:
√ Some employees. Eligible employees are: employees working 3 0 hours per week
!
All Employees • With respect to dependents:
√ We do offer coverage. Eligible dependents are: Dependent generally refers to the employee’s spouse and
children and includes domestic partners.
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We do not offer coverage √ If checked, this coverage meets the minimum value standard, and the cost of this coverage to you is intented to be
affordable, based on the employee wages.
** Even if your employer intends your coverage to be affordable, you may still be eligible for a premium discount through the Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee or you work on a commission basis), if you are newly employed mid-­‐year, or if you have other income losses, you may still qualify for a premium discount. If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here's the employer information you'll enter when you visit HealthCare.gov to find out if you can get a tax credit to lower your monthly premiums. I, __________________________________________________ (full name), have received and
acknowledge the New Health Insurance Marketplace Coverage Options and Your Health Coverage
document. In signing, I recognize that I am fully aware of the contents of said document and
understand the information set forth.
Signature: ______________________________
Date: __________________