Accord Onboarding Test Personal InformationLegal Name* First Last Preferred Nickname (if different than first name) Example: Robert goes by Bob, Jennifer goes by Jen, etcJob Title*Sales RepOnsite Construction Supervisor (OCS)Sales ManagerGeneral Admin SupportOperations MangerOtherJob Title (If Other)* Mobile Phone*Home PhonePersonal Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Resident Home 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 Social Security Number* Shirt Size*Please Select Polo SizeSmallMediumLargeXLXXLXXXLAttach Picture of YourselfAccepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 8 MB.You can add maybe your favorite selfie or headshot. We want to know who you are! 🙂Family InformationMarital Status*SingleMarriedEngagedDivorcedOtherSpouse Information*First NameLast NameDate of Birth (MM/DD/YYYY) Children InformationFirst NameLast NameDate of Birth (MM/DD/YYYY)Click (+) for moreLegal/Work InformationPlease select which describes you:* I am not a legal US citizen I am a legal US citizen Proof of Citizenship: Attach photo of your current Driver's License*Max. file size: 50 MB.This is required to verify your I-9 status with the United States government (important: see valid document requirements here).Proof of Citizenship: Attach photo of either (A) the photo page of your valid US Passport OR (B) your Social Security Card OR (C) your Birth Certificate*Max. file size: 50 MB.This is required to verify your I-9 status with the United States government (important: see valid document requirements here).Do you have car insurance?* Yes No Proof of Car Insurance: Attach a photo of your Car Insurance*Max. file size: 50 MB.Insurance Coverage Amounts*BodilyPersonalProperty Damage If no, please provide a reason* Paycheck Delivery Preference* ACH - Bank Transfer Paycard - Debit Card ACH/Direct Deposit Authorization* I agree to the policy below:I authorize the company to ACH/direct deposit monies owned to me personally.Type of Account* Checking Account Saving Account Banking info*Bank NameAccount NumberBank Routing NumberFor saving accounts, do not enter the routing/transit number printed on your deposit slip. Instead call the bank where the savings account is set up and ask for the appropriate routing/transit number. Some banks print different routing/transit numbers on their deposit slips. Authorized Signature* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY ACH Setup (Attach picture of voided check)*Max. file size: 4 MB.A photo of a voided check is required to set up payment.