EMPLOYMENT | GSA Worldwide

EMPLOYMENT FORM — GLOBAL SOLUTIONS AMERICAS LLC (GSA)

Please fill out the form below

EMPLOYEE INFORMATION

Full Legal Name

Preferred Name

Home Address

City / State / ZIP

Phone Number

Email Address

Date of Birth (if required)

Month

Day

Year

Best Method of Contact

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Primary Phone

Alternate Phone

EMPLOYMENT INFORMATION

Position / Job Title

Department / Service Type

Work Location / Site

Supervisor / Company Contact

Employment Start Date

Month

Day

Year

Regular Work Schedule

Hourly Rate / Salary

Pay Frequency / Pay Day

PAYMENT INFORMATION

Preferred Payment Method

Name on Payment Account

Additional Payment Notes

UNIFORM & APPEARANCE

Shirt / Polo Size

Required Pants / Bottoms

Required Footwear

Uniform Issued — Date

Month

Day

Year

Employee Initials

SUPPLIES, EQUIPMENT & WORKSITE COMMUNICATION

Employee understands that any needed work supplies, materials, PPE, tools, or equipment should be reported promptly to the designated company contact or supervisor. The employee should also promptly report site-access issues, safety concerns, damaged equipment, or circumstances that may prevent completion of assigned work.

EMPLOYEE ACKNOWLEDGMENTS

I confirm that the information I provided on this form is accurate to the best of my knowledge.

I understand that I am expected to report to work on time, follow assigned duties and checklists, and maintain professional conduct at client and Government facilities.

I understand that company/client property, supplies, keys, badges, access information, and equipment must be handled responsibly and used only for authorized work purposes.

I understand that safety concerns, accidents, injuries, incidents, supply shortages, and worksite problems should be reported promptly to management.

I understand that this form is an onboarding record and does not replace any required employment eligibility, tax, payroll, policy, or separate employment documents.

SIGNATURES

Employee Signature

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Employee Signature Date

Month

Day

Year

Printed Employee Name