Employee On-boarding Please enable JavaScript in your browser to complete this form. - Step 1 of 4Name of EmployerName *FirstLastDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number *Email *Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Emergency Contact Name *FirstLastEmergency Contact Number *Emergency Contact Relationship *NextPayroll Deductions / Direct DespositsI request my payroll deduction/direct deposit be placed in the following accounts:Bank / Credit UnionBank ABA#Account#Choose Your Deduction MethodDeduction Amount% Net PayDeduction Amount% Net PayPayCardI authorize MAGNET HR GROUP, LLC to withhold the indicated amount(s), if available, from my pay, and deposit directly into the account(s) shown and/or I hereby authorize MAGNET HR GROUP, LLC to assign a rapid! PayCard and initiate credit entries and any correcting entries to my assigned rapid! PayCard account. The direct deposit(s) will be made on each payday, unless I notify MAGNET HR GROUP, LLC in writing of my intent to cancel. Upon MAGNET HR GROUP, LLC’s receipt of a request to cancel a direct deposit authorization, it shall become effective after a reasonable opportunity to act upon it. In the event funds are deposited erroneously into my account, I authorize MAGNET HR GROUP, LLC to debit my account(s) not to exceed the original amount of the credit. I understand that MAGNET HR GROUP, LLC reserves the right to refuse any direct deposit request. I also understand that all direct deposits are made through the Automated Clearing House (ACH), and that funds availability is subject to the terms and limitations of the ACH as well as my financial institution. Note: If sending this form electronically, please type your initials and the last 4 digits of your social security number in the signature field. If sending or faxing a paper copy, please print out and sign your name(s) in the signature box.NextVoluntary EEO IdentificationVarious agencies of the United States Government require employers to maintain information on applicants pertaining to factors such as race, sex and type of position for which an individual applies. The information requested on this sheet is for compliance with certain record keeping requirements. The Companies believe all persons are entitled to equal employment opportunities and do not discriminate against its employees or applicants for employment because of race, color, sex, religion, national origin, disability, veteran status, age, marital status or any other protected group status.Name *FirstLastDate / TimeDateTimeSingle Line TextNumbersDate / TimeMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderSelectMaleFemaleCheckboxesWhite (Non Hispanic) Origins of Europe, North Africa, or Middle EastBlack or African American (Non Hispanic) Origins in any of the Black racial groups of AfricaAsian (Non Hispanic) Origins of the Far East, Southeast Asia, or the Indian subcontinentHispanic or Latino Mexican, Cuban, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of raceNative Hawaiian or Other Pacific Islander Origins of Hawaii, Guam, Samoa, or other Pacific IslandsAmerican Indian or Alaskan Native - Origins of North and South America (including Central America), who maintain tribal affiliation or community attachmentTwo or more races (Non Hispanic) All persons who identify with more than one of the above racesRegulations issued by the U.S. Department of Labor with respect to disabled individuals, disabled veterans and Vietnam Era veterans require that federal contractors provide an opportunity for self-identification to candidates seeking employment. Such self-identification is submitted on a voluntary basis, on a confidential basis, for use only in accordance with regulations, and without subjecting the individual to adverse treatment.Disabled/Veteran ClassificationNot a Veteran or Disabled VeteranSpecial Disabled Veteran (30% or more disability)Vietnam Era VeteranOther Eligible VeteranDisabled IndividualYesNoNextEmployee DocumentationClick Here To Download I9 FormUpload Completed I9 Form * Click or drag a file to this area to upload. I9 Documentation * Click or drag a file to this area to upload. Please upload your I9 document(s) per the instructions on page 4 of the I9 document from the link above. You may upload multiple documents at once if necessary. Click Here To Download W4 FormUpload Completed W4 Form * Click or drag a file to this area to upload. Employee Authorizations & AcknowledgementsI, the undersigned employee, in consideration on my hiring by my employer stated as (“the Company”) acknowledge and agree to the following: I have been hired as an at-will employee a nd t he r e is no contract of employment which exists between me and the Company. I understand and agree that no representative of the Company has the authority to enter into any agreement for employment with me which alters my status as an at-will employee. I also agree to comply with any drug testing policy which the Company may adopt, and I specifically agree to post-accident drug testing in any situation where it is allowed by law. I understand that any misrepresentation, falsification or omission on this or any other document shall be sufficient reason for refusal to hire or termination of my employment. I hereby authorize the investigation by t h e Comp a n y of all matters relating to the new hire paperwork and process and agree that if the results of such investigation are not satisfactory, any offer of employment made to me may be withdrawn, or my employment may be terminated immediately. I agree to conform and adhere to the rules and regulations which exist by the Company. In addition, I also agree that if at any time during my employment I am subjected to any type of discrimination, including discrimination because of race, sex, age, religion, color, retaliation, national origin, handicap, disability, or marital status, or if I am subjected to any type of harassment including sexual harassment, I will immediately contact Magnet HR Group LLC (469) 964-1835 in order to obtain assistance in the resolution of such matters. Group Benefits Acknowledgement (if applicable)I hereby certify that I have been given an opportunity to enroll for Group Insurance benefits if offered by The Company provided I am a full-time employee working a minimum 30 hours or more per week and acknowledge that it is my responsibility to notify the Company if I do not receive the insurance benefit package. I am also responsible, as are any other adults proposed for coverage within my family, for reviewing and understanding the various benefit plans available and contacting the Company HR Department with any questions or concerns prior to my effective date of insurance coverage. Additionally, I affirm that I understand that my eligibility date is the first of the month following my hire date. I must complete and return the proper forms within thirty (30) days of my eligibility date and verify that they have been received by THE COMPANY. Failure to do so will be considered a waiver of participation. If my assigned benefit period is not fully understood by me, it is my responsibility to confirm the dates my benefits take effect from my supervisor or the Company. I understand that once enrolled in the benefits, I cannot make any changes to my benefits plan enrollment until either the next annual enrollment period or unless I experience a change in Family Status and notify the Magnet HR Group (469) 964-1835 and/or HR Department within thirty (30) days of the event: “Change in Family Status” includes, without limitation, marriage, divorce, death of a spouse or dependent, birth or adoption, a change in dependent custody, termination (or commencement) of a spouse’s employment, switching from part-time to full-time employment status (or vice versa) by an employee or spouse, taking of an unpaid leave of absence by the employee or spouse, or a significant change in the health coverage of the employee or spouse attributable to the spouse’s employment.WebsiteSubmit6460 COMPANY About Us Careers NAVIGATION Services Resources Client Info Employee Info Contact Us CONTACT Office: 469-470-1077 Fax: 214-975-2331 4100 Spring Valley Road Suite 654 Dallas, TX 75035
