C4PWellness Employee Onboarding
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First Name
Required First Name!
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Last Name
Required Last Name!
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What is their role? (select all that apply)
SUD Counselor
Peer Support Specialist
Therapist
Please select at least one item.
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Cell Phone #
Required Cell Phone #!
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Is C4PC providing a phone or is the user providing their own phone?
C4PC Provided
Personal Phone
Required Is C4PC providing a phone or is the user providing their own phone?!
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Will this user have a company computer?
Yes
No
Required Will this user have a company computer?!
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If yes, share the AnyDesk Computer Name and Number
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Or upload a screenshot of the AnyDesk computer name and number
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What is their role? (select all that apply)
SUD Counselor
Peer Support Specialist
Therapist
Please select at least one item.
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Select all Locations this user works at (select all that apply)
Wellness Center
Please select at least one item.
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Requested by (Name)
Required Requested by (Name)!
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Requested by (Email)
Required Requested by (Email)!