TO BE COMPLETED BY EMPLOYEE. Employee Name At least one (1) hour donated on (date) Home Address Home Phone Dept. Employee’s Phone Ext. Supervisor Supervisor’s Phone
TO BE COMPLETED BY EMPLOYEE. I, the undersigned employee, understand and agree that if my employment is terminated for any reason prior to the expiration of the above policy term for which the company has paid one-half of the premium, the unused portion of the premium paid by the company may be withheld from my final check. Signature of Employee: Date: FOR USE BY THE HUMAN RESOURCES DEPARTMENT Processed By: Payable To: Charge Department No: Human Resources Approval: Date: Amount to Pay: $ Account No: Date: ATTACHMENT B ALCOHOL, DRUG & SUBSTANCE POLICY The Modesto Bee is committed to maintaining a safe and efficient workplace free of drugs and alcohol and to discouraging drug, alcohol and substance abuse by its employees. Employees who are under the influence of drugs, alcohol or other substances on the job compromise the Newspaper’s interests and may endanger their own health and safety and the health and safety of others. The Modesto Bee’s goals are to avoid accidents, promote and maintain safe and efficient working conditions for its employees, and to protect the Newspaper’s business, property, equipment and operations. To support these goals, the Newspaper has established this policy concerning the use of drugs, alcohol and other substances. As a condition of continued employment with the Newspaper, you must abide by this policy.
TO BE COMPLETED BY EMPLOYEE. (Account 1) Checking Account Savings Account Account Change Bank Name: Transit Routing Number: Account Number: Deposit Amount: $ (Flat Amount) TO BE COMPLETED BY EMPLOYEE ( Account 2 ) Checking Account Savings Account Account Change Bank Name: Transit Routing Number: Account Number: Deposit : Remainder Net Pay I authorize New York Institute of Technology to deposit my net pay into my account as indicated above each payday. If funds to which I am not entitled are deposited in my account, I authorize New York Institute of Technology to initiate necessary adjustments to my account to effect return of said funds. This authorization will remain in effect until I provide written notice of its rescission to the Payroll Department.
TO BE COMPLETED BY EMPLOYEE. Part III: Future Training & Development What training do you feel you need to assist you to enhance future performance (should also appear in Professional Development Plan). Use additional sheets if needed.
TO BE COMPLETED BY EMPLOYEE. I agree to satisfy all of the participation requirements for the U-First Program. In the event that I do not meet the U-First participation requirements, require a replacement fitness watch, and/or fail to notify UMED if I am unable to keep an appointment as indicated above, I hereby authorize UMED to charge the amount, as stated above, from the identified credit card below immediately following occurrence and without notice to me. I understand that the above outlined deductions may be executed immediately and without notice should my position with the employer sponsor be terminated. By signing below I certify that I have read, understand and agree to the terms of this agreement. Name: Phone: Card #: Expiration (MM/YY): Security Code: Signature: Date: UPLOAD THIS COMPLETED FORM TO xxxxx://xxxx.xxxxxxxx.xx
TO BE COMPLETED BY EMPLOYEE. Employee Self-Assessment This form is to be completed by employee and discussed with evaluator. Purpose of Appraisal: Employee’s Name: (Last, First, MI) Department: Annual Review Probationary Review Job Classification: Evaluator’s Name: Other . Part I: Performance Feedback Assess your contribution toward helping the organization achieve its goals. Describe how well you have done in carrying out job responsibilities and performance expectations Part II: Future Performance Expectations Identify any particular performance expectations, job duties, special assignments, and/or skills upon which you should focus in order to reinforce your success and contribution to the organization in your current position.
TO BE COMPLETED BY EMPLOYEE. INSTRUCTIONS This form is used to request approval to establish an alternate work location (AWL) and to document the terms and conditions of the AWL agreement if approved. The form is initiated by employee and routed through appropriate chain of authority to the final approver. It is designed to be saved and forwarded via email, but it may be printed and the hard copy routed as described above. Employee Name: Title: Department: Date of Hire: Benefit and Justification of AWL (provide supporting documentation for justification) To Employee: To Department: Proposed Duration and Location of AWL Start Date: End Date: Location: (street address, city, state and zip code) Proposed Work Schedule FLSA Status Exempt Non-exempt* *Actual hours worked must not exceed 40 hours per week unless overtime is preapproved by supervisor. Hours Worked At Primary Duty Station Hours Worked At Alternate Work Location Lunch Monday Tuesday Wednesday Thursday Friday
TO BE COMPLETED BY EMPLOYEE. I understand the importance of this self-assessment and agree to provide correct and current information in relation to my work environment, and with the understanding, this assessment remains current for the period of the COVID-19 working from home agreement. Once working from home is no longer required, any equipment will be returned to the department. Employee signature: ………………………………………………………… Date: ………………………………. Employee name: Employee position title: Date: WFH location address: Department/Division: Line Manager/Supervisor: Date discussed with Manager/Supervisor: d of form Terms and Conditions
