New Hire Intake Form | Stone Age Farmacy

Name*

First Last

Phone Number*

Personal Email Address*

This address will be used as your 'recovery address in case you need to reset a lost password.

Job Title or Department*

Job Title*

Describe your new role with the company.*

Briefly include some of your daily responsibilities. If you have any other special skills outside of what is required for your new role (i.e. photography, web design, etc.), include those here as well.

At which location will you spend most or all of your time?*

Los Angeles
Long Beach
Portland
Garden
Other
Unknown

Which device(s) will you use to check work email?*

iPhone or iPad
Android Phone or Tablet
Apple Laptop or Desktop Computer
Windows Laptop or Desktop Computer
Chromebook/Android-based Computer
Unknown

Which domain should be used for your work email?*

stoneagefarmacy.com
stoneagegarden.com
prcdistribution.com

Submit any additional comments here.

Notifications & Additional Access

Your new supervisor or an HR manager should be able to assist with providing the information requested below.

Direct Supervisor*

Work Email

Supervisor Email Address

Usually firstname.lastname@yourdomain.com, i.e. john.doe@stoneagegarden.com.

Who else should be notified when your new mailbox is ready?

Enter email for person to notify (in addition to your supervisor).

Check here if a Slack account is required.

Some Stone Age departments use Slack as a communication hub. Your supervisor or Human Resources will be able to confirm whether or not access to Slack is required for your new position.