All Team Staffing Application Form

Application Form

BIOGRAPHIC INFORMATION
Name
Your first nameMiddle nameLast name
Date of Birth:*
MonthDayYear
Date
Social Security Number:
Phone Number:*
Address
Home address
Street Address Line 2
City or townState
Zip code
Do you have any criminal record?*
YesNo
Gender:
MaleFemale

IDENTIFICATION
Are you a US citizen?
YesNo
Work Authorization Card
Alien/ USCIS Number:
Expiration date:
MonthDayYear
Date
Permanent Resident Card:
Alien/ USCIS Number
Expiration date:
MonthDayYear
Date
Do you have Driving License?
Yes
Expiration:
Issuing State
Do you have State ID ?
Yes
Issuing state:
Expiration:
Do you have US Passport ?
Yes
Issuing state:
Expiration:
Do you have School ID ?
Yes
Issuing state:
Expiration:
Job you may interested in:
CashierCookDishwasherServerRunnerMover
Other (please specify):
Work History and Employment Record
Company name Position held Duration Supervisor’s name Supervisor’s phone
1.
2.
3.
4.
5.
Please answer the following questions:
Anyone else claiming you as dependent.
YesNo
You are single and have only one job
YesNo
You are married, have only one job, and your spouse does not work.
YesNo
Number of Dependents
Do you have your own car for work?
YesNo
Acknowledgment: By signing below, I acknowledge I have read, understand and agreed with all of the following documents ALL TEAM provided me:*
ALL TEAM’s Substance Abuse PolicyALL TEAM’s Abandonment PolicyInformation Seminar ChecklistAll TEAM’s Accident ProcedureAll TEAM’s Sexual Harassment policy
Signature of Applicant*
Clear
Date:
MonthDayYear
Date

PRELIMINARY DRUG SCREEN FORM
Donor Name
SSN or ID#
Reason for Test:
Pre-EmploymentRandomPost Accident
Date of Collection:
Time of Collection
Specimen Type:
Oral FluidUrine
Donor Signature
Clear
Date
MonthDayYear
Date

GENERAL INFORMATION REGARDING EMPLOYMENT
General Information Regarding Employment
If you are hired by All Team, you will be our employee and all compensation will be paid by All Team. You will report to our Client’s Supervisor and must be willing to follow their instructions. If you have a problem with what the Client is requesting, you are to report it to your All Team Supervisor and not confront the Client Supervisor.
- Email: queens@allteamstaffing.com
- Don’t call our office. If you have any concern about any detailed issue relating to work, raise a “CONSERN FORM” kept in the office. We will respond within four working days from the date form was received.
Notifying us of your availability to work
- If you didn’t get any shift for some time, text us your availability.
Securing Assignments
- Respond to the text you received from us (we will text you the details of shifts)
- Once accepted, don’t walk off the assignment before the shifts end, or not returning to complete a scheduled job without prior notice and approval from All Team you will be subject to the Federal Abandonment Law and have your pay dropped to the Federal Minimum wage for the hours you actually worked. NO CALL + NO SHOW = NO JOB
Attendance and Tardiness
- Be on (or before) time as tardiness can lead to the removal from assignments and possible termination from All Team.
- If you are unable to make an assignment you accepted you must text our office as soon as possible.
Extended Work Assignments
- If, while on assignment, the client requests you stay beyond the originally scheduled end time, you text All Team to notify them of the extension and ensure you pay of said time.
Uniforms
- You must report to duty in clean and tidy uniform.
  Comb your hairs properly.
  Don’t carry bags while reporting on duty as many places don’t allow.
Time Cards Procedure
- You must keep track of your own time and breaks on an All Team timecard.
- You must fill out your time card neatly and properly, sign the employee signature line and have the client supervisor sign on their line too.
- It is your responsibility to track your hours and record accurately on the time card, make sure your time card is in our office by noon on Monday.
- You must use a new time card for each client that you may work in any given payroll period. You may use one time card if you are working for the same client for several days or all week.
Paychecks
- All Team employees are paid weekly. Our pay period begins Monday and ends on Sunday.
- All employees (except assigned to Aramark) are paid by the 2 Monday after your assignment
- Aramark assigned employees are paid by the 3 Monday after your assignment
- Contact your local branch for times you may pick it up.
- Check collection by 3 party: If you want someone to pick your check up for you, you must send in a written authorization prior naming the person authorized to pick it up. You must also call us on the day the authorized person will be coming by. They must have proper ID with them.
- Check sent by mail: If you would like your check mailed, sign below stating we are not responsible for postal delivery time and any stop payment on a check mailed after 10 business days will cost you a $30.00 stop payment fee and be deducted from the reissued check. Checks not picked up in 90 days will be voided. Checks will be reissued when you notify us and we verify with bank it was not cashed.
Work Rules and Regulations
When on an assignment you are a representative of All Team. All Team is judged by your attitude, appearance and your performance. As an employee you must agree to the following:
- Arrive early enough to meet your Supervisor at the start time. Plan ahead for traffic, parking, direction, etc. issues
- Take breaks only with client’s approval.
- Do not use your cell unless on a break period
- Leave all bags and back packs at home or secured in your vehicle
- Have ID and any certification cards on you at all times
- Complete your shift leaving only when directed and with a signed time card from the supervisor
- Refrain from profanity, obscene gestures or harassment of others
- Stay at your assigned station. Do not wander around the client location
- Ask if you are unsure what you should be doing
- Eat only when instructed by Client
- Cover all tattoos and remove all jewelry except for a wedding band
Workers’ Compensation
As an employee of All Team, you are covered under Worker’s Compensation for injury while on assignment. To ensure you get proper coverage you must:
- Report immediately to your supervisor and also to us any accident while on job
- Seek medical attention either through our provider or one of your choice.
- You All Team Manager will tell you which one you are permitted to use.
- Submit to a drug and alcohol test within 24 hours of accident
- Follow medical instructions
- Complete all paperwork deemed necessary by All Team
All Team and its insurance carrier will fully investigate any and all claims. Both parties will prosecute any false claims to the full extent of the law. Our insurance carrier will seek Light Duty Work, if recommended by Doctor. I authorize All Team to request and obtain all records regarding accident, injury, or occupational disease involving myself and All Team. This is to include doctor’s reports, follow-up reports, nurse’s notes, medical bills, test results etc. A faxed or copy of this original authorization shall be considered as effective and valid as the original.

Drug and/or Alcohol Testing
I understand and agree, upon a request made under the drug/alcohol policy of All Team to submit to a drug and/or alcohol test. I understand I must pass this
test to be hired by All Team. I understand I will need to submit to a drug test immediately after a workplace injury. If I refuse to submit to the test or fail the
test, I will be subject to immediate termination. I also authorize All Team to disclose any results of such tests to any government entity or All Team client I
worked for in a legal proceeding or audit. I hold harmless All Team from any and all lawsuits, proceedings, claims, or caused of action, including loss of
employment, or from any action or inaction of All Team or its clients that might arise as a result of the testing.

Accident Procedure
If hurt while on assignment, you must call the All Team office or emergency phone. You must stay at the job site until an All Team manager arrives unless it
is a life threating emergency and then call 911. All Team will investigate the accident, talk to witnesses and fill out a First Report of Injury form. The All
Team manager will drive the employee to a healthcare center and speak with the administrator to have you taken care of. A drug test will be administered in
every accident that occurs while on assignment. I understand and will follow these procedures if I am ever injured at work.

Transportation Release
All Team expects you to supply your own transportation to and from work assignments. If All Team offers to supply any transportation it is being done solely for your financial interest and the necessity of you earning an income. You will not be paid for any travel time and only hours actually worked at Client
location. You agree to release All Team of any and all liability associated with any provided transportation to or from a job site and you acknowledge
transportation was supplied for your benefit.

Sexual Harassment
Any employee who feels he/she is a victim of sexual harassment should report it to his/her All Team manager. It is the policy of All Team to investigate any
and all claims of Sexual Harassment reported. Any employee who accuses any other employee of client of sexual harassment should not fear retaliation from
the company or any other employee for lodging a complaint. After a fair and objective investigation, if harassment has occurred, the harasser will be dealt
with and terminated if the behavior continues.
All Team Employee
I understand that I will be an employee of All Team and will be placed on an assignment by assignment basis. I understand I will not be an employee of any
of All Team’s clients and will not be entitled to any of the client’s benefit plans, policies or programs. I will receive all pay from All Team and will not be
paid by any of All Team’s clients.
Signature of Employee:*
Clear
Date:
MonthDayYear
Date

DISCLOSURE REGARDING BACKGROUND INVESTIGATION
Employee Signature*
Clear
Date
MonthDayYear
Date

ACKNOWLEDGEMENT & AUTHORIZATION FOR BACKGROUND CHECK
Employee Signature*
Clear
Date
MonthDayYear
Date
Paycheck Procedure
• Employees are paid only for the hours worked.
• The pay rate is agreed upon at the time of acceptance of an assignment and is based on the job duties and responsibilities and on skills and experience.
• The pay period begins Monday and ends on Sunday.
• In order to allow for appropriate approvals, the first week after the end of the pay period is the payroll processing week.
• Employees are paid on the 2nd Monday after the end of pay period.
Paycheck Distribution: Office Pickup and Mail
All Team Staffing distributes pay check in the following ways:
Office pickup
• The paychecks are available for pickup at the local branch on the 2nd Monday after the end of pay period at 1:00 PM.
• All Team Staffing requires a written authorization from its employees for check collections by 3rd party.
Mail
• All Team Staffing will mail the paychecks not later than 2nd Friday after the end of the pay period to the address it has on file.
• Employees will be required to provide All Team Staffing with a complete and accurate mailing address and any updates or changes in the mailing address.
• All Team Staffing will not be held responsible for any delays in receiving checks through the mail.
• Employees will be responsible for any stop payment fee on checks mailed to the wrong address.
• The stop payment fee ($30.00) will be deducted from a replacement check.
• The replacement check will be reissued when appropriate after fifteen (15) calendar days from the payment date (2nd Monday after the end of pay period).
Employee Signature*
Clear
Date
MonthDayYear
Date

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM
BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM
[FOR EMPLOYMENT PURPOSES]
The applicant for employment acknowledges that this company may now, or at any time while employed, verify information within the application, resume or contract for employment. In the event that information from the report is utilized in whole or in part in making an adverse decision, before making the adverse decision, we will provide to you a copy of the consumer report and a description in writing of your rights under the Fair Credit Reporting Act,15 U.S.C. § 1681 et seq.

Please be advised that we may also obtain an investigative consumer report including information as to your character, general reputation, personal characteristics, and mode of living. This information may be obtained by contacting your present and previous employers or references supplied by you. Please be advised that you have the right to request, in writing, within a reasonable time, that we make a complete and accurate disclosure of the nature and scope of the investigation requested.

Additional information concerning the Fair Credit Reporting Act, 15 U.S.C. § 1681 et seq., is available at the Federal Trade Commission’s web site (http://www.ftc.gov). For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

By signing below, I hereby authorize all entities having information about me, including present and former employers, personal references, criminal justice agencies, departments of motor vehicles, schools, licensing agencies, and credit reporting agencies, to release such information to the company or any of its affiliates or carriers. I acknowledge and agree that this Background Check Disclosure and Authorization Form shall remain valid and in effect during the term of my contract and/or employment, subject to applicable laws.
Date
MonthDayYear
Date
Employee Signature*
Clear
Print Name

ACKNOWLEDGMENT OF RECEIPT
ACKNOWLEDGMENT OF RECEIPT
ALL TEAM STAFFING DRUG & ALCOHOL POLICY
I have received my copy of All Team Staffing's drug and/or alcohol policy. I understand and agree that it is my responsibility to read and familiarize myself with the policies and procedures contained in this policy. l further understand that should I violate this policy, Twill be subject to disciplinary action, up to and including, termination of employment.
Print Employee's Name
Date
MonthDayYear
Date
Employee Signature*
Clear

USCIS FORM I-9 EMPLOYMENT ELIGIBILITY VERIFICATION
Employment Eligibility Verification - USCIS
Department of Homeland Security - Form I-9
START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)
Last Name (Family Name)
First Name (Given Name)Middle InitialOther Last Names Used (if any)
Address (Street Number and Name)
Apt. Number
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy)
MonthDayYear
Date
U.S. Social Security Number
Employee's E-mail Address
example@example.com
Employee's Telephone Number
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am:
(check one of the following boxes)
1. A citizen of the United States2. A noncitizen national of the United States (See instructions)3. A lawful permanent resident4. An alien authorized to work until
(Alien Registration Number/USCIS Number):
If you are a lawful permanent resident
(expiration date, if applicable, mm/dd/yyyy): 4. An alien authorized to work until
MonthDayYear
Date
Some aliens may write "N/A" in the expiration date field. (See instructions) Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
1. Alien Registration Number/USCIS Number:
2. Form I-94 Admission Number:
3. Foreign Passport Number:
Country of Issuance:
Employee Signature*
Clear
Today's Date (mm/dd/yyyy)
MonthDayYear
Date
Preparer and/or Translator Certification
Check one:
I did not use a preparer or translator.A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
Signature of Preparer or Translator
Name
First Name (Given Name)Last Name (Family Name)
Date
MonthDayYear
Date
Address
Address (Street Number and Name)
Street Address Line 2
City or TownState
Postal / Zip Code
ZIP Code

Form IT-2104 Employee’s Withholding Allowance Certificate
Employee’s Withholding Allowance Certificate
IT-2104 New York State • New York City • Yonkers
First name and middle initial
Last name
Your Social Security number
Permanent home address (number and street or rural route)
Apartment number
City, Village, or Post office
State
ZIP code
Chose one: Note: If married but legally separated, mark an X in the Single or Head of household box.
Single or Head of householdMarriedMarried, but withhold at higher single rate
Are you a resident of New York City?
YesNo
Are you a resident of Yonkers?
YesNo
Complete the worksheet on page 4 before making any entries.
1 Total number of allowances you are claiming for New York State and Yonkers, if applicable (from line 20)
2 Total number of allowances for New York City (from line 35)
Use lines 3, 4, and 5 below to have additional withholding per pay period under special agreement with your employer.
3. New York State amount
4. New York City amount
5. Yonkers amount
I certify that I am entitled to the number of withholding allowances claimed on this certificate.
Date
MonthDayYear
Date
Employee Signature*
Clear
Penalty – A penalty of $500 may be imposed for any false statement you make that decreases the amount of money you have withheld from your wages. You may also be subject to criminal penalties.
Employee: detach this page and give it to your employer; keep a copy for your records.
Employer: Keep this certificate with your records.

Notice and Acknowledgement of Pay Rate and Payday
Notice and Acknowledgement of Pay Rate and Payday
Under Section 195.1 of the New York State Labor Law
Notice for Hourly Rate Employees
Employee Acknowledgement:On this day I have been notified of my pay rate, overtime rate (if eligible), allowances,and designated pay day on the date givenbelow. I told my employer what my primary language is.
Check one:
I have been given this pay notice in English because it is my primary language.
My primary language is:
I have been given this pay notice in English only, because the Department of Labor does not yet offer a pay notice form in my primary language.
Print Employee Name
Employee Signature*
Clear
Date
MonthDayYear
Date
The employee must receive a signed copy of this form. The employer must keep the original for 6 years.
Please note: It is unlawful for an employee to be paid less than an employee of the opposite sex for equal work. Employers also may not prohibit employees from discussing wages with their co-workers.

Form W-4 Employee’s Withholding Certificate
Employee’s Withholding Certificate
Department of the Treasury Internal Revenue Service
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.
Step 1: Enter Personal Information
(a) First name & middle initial
Last name
▶ Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
(b) Social security number
Address
City or town, state, and ZIP code
(c)
Single or Married filing separatelyMarried filing jointly or Qualifying widowerHead of household Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs. Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld .....
3
TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.
Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)

Step 3: Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500
Add the amounts above and enter the total here
Step 4 (optional): Other Ajustments
(a)Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income
4(a)
(b)Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here
4(b)
(c)Extra withholding. Enter any additional tax you want withheld each pay period
4(c)
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.*
Clear
Date
MonthDayYear
Date

Anti-SexualHarassment Training
Under Local Law 96 of 2018, employers with 15 or more employees are required to conduct annual anti-sexual harassment training for all employees. New York State Law requires that employers of one or more employees must conduct anti-sexual harassment training for all employees.
The Commission has developed an online training that will satisfy both the New York State and New York City anti-sexual harassment training requirements.
How to save the certificate of completion:
If you are taking this training on a desktop computer or laptop, you will be able to print or save the certificate to your computer.
IMPORTANT: At the end of the training, you must click the “SAVE” button first in order to generate your certificate of completion.
If you are on a mobile device, you can use the device’s capabilities to take a screenshot, save, or email the certificate.
Note: If you are not able to play the video in this form please click this link: https://www1.nyc.gov/assets/cchr/training/english/index.html
I have watched the video about the Anti-Sexual Harassment Training*
Clear

Upload Documents
Upload Documents Applicable to you:*
Social Security CardDrivers LicenseState IDSchool IDCertificate of completing anti-sexual harassment trainingYour Picture (optional)Resume (optional)
Upload Social Security Card
Upload Drivers License
Upload State ID
Upload Training Certificate anti-sexual harassment
Upload School ID
Upload Your Picture
Upload Your Resume
Should be Empty:

	Company name	Position held	Duration	Supervisor’s name	Supervisor’s phone
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Application Form

Employment Eligibility Verification - USCIS

Employee’s Withholding Allowance Certificate

Notice and Acknowledgement of Pay Rate and PaydayUnder Section 195.1 of the New York State Labor LawNotice for Hourly Rate Employees

Notice and Acknowledgement of Pay Rate and Payday
Under Section 195.1 of the New York State Labor Law
Notice for Hourly Rate Employees