ORIENTATION CHECKLIST

This Form Must Be Completed Before Any Employee Is Put To Work

EMPLOYEE NAME: __________________

SUPERVISOR: _____________________

DATE: _____________

CLASSIFICATION: ________________________

1) Pay policies and procedures _____________

2) Reporting Structure _____________

3) Fringe Benefits ___________

4) Safety Rules ___________

5) Required safety equipment ____________

6) Company Rules __________

7) EEO Policies __________

8) Employment At Will Policy  _________

9) Handbook signed for _________

10) New Hire Forms completed __________

I certify that I have been informed of each of the matters listed above, have been given the opportunity to ask any questions which I may have, and fully understand the terms of my employment with PHK CPA.

Date  ________    Employee Signature _____________________

Date ________    Company Representative __________________