CCR&R New Employee Submission Form
Please fill out your new hire's information in the form below. Once submitted, this form will be automatically sent to CCR&R staff members listed on the New Hire Notification Policy, notifying them of the change and any pertinent information. This form should be completed within 48 hours of the new hire's first day of employment.
Employee Information
Please type below your new hire's name, start date, and contact information (work email address and phone number). If you do not know your new hire's work email address or phone number yet - you may leave those fields empty.
Name of New Hire
*
First Name
Last Name
New Hire Start Date
*
-
Month
-
Day
Year
Date
New Hire's Work Email Address
example@example.com
New Hire's Work Phone Number
Please enter a valid phone number.
Position Information
New Hire Position Title
*
Reports To
*
New Hire Position Type:
*
Please Select
Deputy Director
Coordinator
Assistant Coordinator
Coach
Specialist
Manager
Administrative Assistant
Analyst
Sub Contractor (if applicable)
What counties will the new hire serve?
*
Mid Cumberland Counties
Central Counties
Upper Cumberland Counties
South Central Counties
Upper East Counties
Southeast Counties
East Counties
Shelby County
West Counties
Statewide
What date do you hope to have the employee released for training and coaching by?
-
Month
-
Day
Year
Date
Will the new hire need an ID badge, business cards, or both?
*
ID Badge
Business Cards
Both
Who is submitting this form?
*
First Name
Last Name
Today's Date:
*
-
Month
-
Day
Year
Date
Submit Form
Should be Empty: