New Employee Form Please review the employee handbook below or view and download as a Google Doc then submit the acknowledgement form. All employees may request a copy at any time. Employee InformationEmployee Name* First Last Preferred Name Starting Date* Month Day Year Pronouns*She, her, hersHe, him, hisThey, them, theirsZe, hirJust my name pleaseNo preferenceEmployee Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employee Phone*Food allergies or preferencesE.g. vegan or gluten-free, peanut allergy, etc.Employee Health Insurance CensusIf you will be using the company health benefits plan, please provide the following information. It will be used to determine rates for each available plan.Date of Birth Month Day Year Gender Male Female As a company we do not support the requirement from health insurance providers to force recipients to identify their gender but until Federal laws change, employees are required to identify their gender in order to receive benefits.Employee ProfileFor full time employees, we publish profiles at our company page: https://upstagecrm.io/company. Your current bio and headshot can be uploaded here or we will assist you with creating a bio. We respect your privacy and if you prefer to not have a company profile, please leave these fields empty.Bio (full time employees only)Example: https://upstagecrm.io/team/nicholas-tran-principal-software-engineer/. If you do not have a bio, we’ll help you create one. If your bio is available online, you can list the URL.HeadshotAccepted file types: jpg, png, pdf, Max. file size: 1 MB.If your headshot is available online, please include the link in the bio field above.Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone*AcknowledgementAcknowledgement* At-Will Employment Agreement and Acknowledgement of Receipt of Employee Handbook*I acknowledge that I have been provided with a copy of the UpStage Technologies (the “Company”) Employee Handbook, which contains important information on the Company’s policies, procedures and benefits, including the policies on Anti-Harassment/Discrimination, Substance Use and Abuse and Confidentiality. I understand that I am responsible for familiarizing myself with the policies in this handbook and agree to comply with all rules applicable to me. I understand and agree that the policies described in the handbook are intended as a guide only and do not constitute a contract of employment. I specifically understand and agree that the employment relationship between the Company and me is at-will and can be terminated by the Company or me at any time, with or without cause or notice. Furthermore, the Company has the right to modify or alter my position, or impose any form of discipline it deems appropriate at any time. Nothing in this handbook is intended to modify the Company’s policy of at-will employment. The at-will employment relationship may not be modified except by a specific written agreement signed by me and an authorized representative of the Company. This is the entire agreement between the Company and me regarding this subject. All prior or contemporaneous inconsistent agreements are superseded. I understand that the Company reserves the right to make changes to its policies, procedures or benefits at any time at its discretion. However, the at-will employment agreement can be modified only in the manner specified above. I further understand that the Company reserves the right to interpret its policies or to vary its procedures as it deems necessary or appropriate. I have received the Company Employee Handbook. I have read (or will read) and agree to abide by the policies and procedures contained in the Handbook.