New Employee Training Enrollment Form

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Please correct the field(s) marked in red below:

New Employee Information
Be sure to enter only the new employee's information in this section.

*This enrollment form is designed only for new staff beginning employment with the Monterey County Behavioral Health Bureau. If you are a County Contractor or Community Member who needs help with a new staff member then please contact us via email at 415-training@co.monterey.ca.us or via phone at 831-755-4727.*

1
New Employee Name
 *
2
New Employee Hire Date
 *
3
New Employee Email
 *
4
New Employee Phone Number
5
New Employee Location
6
New employee Job Title/ Classification
 *
7
New employee System of Care / Department
 *
8
New Employee Program
9
New Employee Education
 *
New Employee Education
10
New Employee Registration / License Status
New Employee Registration / License Status
11
New Employee License Number

Supervisor Information

Be sure to enter only the supervisor's information in this section.

12
Supervisor's Name
13
Person Completing Form (If different than Supervisor)
14
Your Email
 *
15
Your Phone Number
 *
16
Request for Accommodation / Comments / Needs
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