New Hire Intake Form | Stone Age Farmacy

Name*

First Last

Phone Number*

Personal Email Address*

Job Title or Department*

Job Title*

Direct Supervisor*

Which location will you be working with?*

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

Which domain is needed for your work email?*

Briefly describe your new role with the company.

Submit any additional comments here.

Who should be notified when the new mailbox is ready?*

Enter an email address.

Work Email