NEW HIRE FORM Please fill out form as accurate as possible Your Information First Name Last Name Email Address Supervisor/Admin Email pbiscaino@superiorforyou.com sgarza@bskadministration.com lgutierrez@bskadministration.com bjuarez@superiorforyou.com New Hire Information First Name Last Name Start Date Office/Location San Antonio Del Rio Eagle Pass Uvalde McAllen Brownsville Laredo Position/Title BSK Staff? No Yes Will need R2 Production Access? (HCHB) No Yes If Yes, what is their HCHB username login? Will Need Tablet? Yes No If yes, please enter tablet ID Will Need Vonage? (Y/N) Yes No If yes, what extension? Will need Access Badge? (Corporate Office Only) No Yes Notes/Additional Info: Send
