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Submitted URL: https://offboarding.highgate.com/
Effective URL: https://edgecommunications.jotform.com/dominique/employee-off-boarding
Submission: On April 08 via api from US — Scanned from US
Effective URL: https://edgecommunications.jotform.com/dominique/employee-off-boarding
Submission: On April 08 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
Name: form_232064192754052 — POST https://edgecommunications.jotform.com/submit/232064192754052
<form class="jotform-form" onsubmit="return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();" action="https://edgecommunications.jotform.com/submit/232064192754052" method="post" name="form_232064192754052"
id="232064192754052" accept-charset="utf-8" autocomplete="on" novalidate="true"><input type="hidden" name="formID" value="232064192754052"><input type="hidden" id="JWTContainer" value=""><input type="hidden" id="cardinalOrderNumber" value=""><input
type="hidden" id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1712582546570=>init-started:1712586062295=>validator-called:1712586062344=>validator-mounted-true:1712586062344=>init-complete:1712586062349"><input type="hidden"
id="submitSource" name="submitSource" value="mounted"><input type="hidden" id="buildDate" name="buildDate" value="1712582546570">
<div role="main" class="form-all">
<div id="id_10" class="progressBar-newDefaultTheme fixed">
<div class="progressBarContainer">
<div id="progressBarWidget" data-progressjs="1">
<div class="progressjs-container">
<div class="progressjs-progress progressjs-theme-newDefault" data-progressjs="1" style="width: 100%; height: 20px;">
<div class="progressjs-inner" style="background-color: rgb(51, 108, 255); width: 0%;">
<div class="progressjs-percent">0%</div>
</div>
</div>
</div>
</div>
<div class="progressBarSubtitle">
<div class="innerProgressBarSubtitle"> <span id="progressPercentage">0% </span> <span id="progressSubmissionReminder" style="display:none; margin-left: 10px;">Please Submit the Form.</span> <span id="progressTextCompleted"
style="margin-left: 2px;">Completed</span> </div>
<div id="progressFieldTotal"> <span id="status_text1">Fields Completed</span> <span id="progressCompleted" style="margin-left:2px">0</span> <span>/</span> <span id="progressTotal">6</span> </div>
</div>
</div>
</div>
<ul class="form-section page-section">
<li id="cid_1" class="form-input-wide" data-type="control_head">
<div style="display:table;width:100%">
<div class="form-header-group hasImage header-large" data-imagealign="Top">
<div class="header-logo"><img src="https://edgecommunications.jotform.com/uploads/dominique/form_files/highgate-logo.64c13b7ca7efa4.17892399.png" alt="Employee Offboarding" width="200" class="header-logo-top"></div>
<div class="header-text httac htvam">
<h1 id="header_1" class="form-header" data-component="header">Employee Offboarding</h1>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_widget" id="id_10" style="display: none;">
<div id="cid_10" class="form-input" data-layout="full">
<div style="width:100%;text-align:Left" data-component="widget-directEmbed">
<div class="direct-embed-widgets progress-bar-widget widget-static" data-type="direct-embed" style="width:1px;min-height:1px">
<div class="direct-embed-10">
<script type="text/javascript">
var progressBarqid = "10";
var onlyCountReq = "No";
var fixedProgressBar = "Yes";
var deleteLabelProgressBar = "";
var fieldsProgressBar = "Fields Completed";
var submitProgressBar = "Please Submit the Form";
var requiredProgressBar = "Required Fields Complete";
var barColor = "#336CFF";
var theme = "Island Blue";
</script>
<link href="//widgets.jotform.io/progressBar/min/styles.min.css" rel="stylesheet" media="screen">
<script src="//widgets.jotform.io/progressBar/min/scripts.min.js"></script>
</div>
</div>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_fullname" id="id_4" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_4" for="first_4" aria-hidden="false"> Full Name:<span
class="form-required">*</span> </label>
<div id="cid_4" class="form-input-wide jf-required" data-layout="full">
<div data-wrapper-react="true"><span class="form-sub-label-container" style="vertical-align:top" data-input-type="first"><input type="text" id="first_4" name="q4_fullName[first]" class="form-textbox validate[required]" data-defaultvalue=""
autocomplete="section-input_4 given-name" size="10" data-component="first" aria-labelledby="label_4 sublabel_4_first" required="" value=""><label class="form-sub-label" for="first_4" id="sublabel_4_first" style="min-height:13px">First
Name</label></span><span class="form-sub-label-container" style="vertical-align:top" data-input-type="last"><input type="text" id="last_4" name="q4_fullName[last]" class="form-textbox validate[required]" data-defaultvalue=""
autocomplete="section-input_4 family-name" size="15" data-component="last" aria-labelledby="label_4 sublabel_4_last" required="" value=""><label class="form-sub-label" for="last_4" id="sublabel_4_last" style="min-height:13px">Last
Name</label></span></div>
</div>
</li>
<li class="form-line fixed-width jf-required form-field-hidden" style="display: none !important;" data-type="control_email" id="id_22" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_22" for="input_22"
aria-hidden="false"> Highgate Email:<span class="form-required">*</span> </label>
<div id="cid_22" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_22" name="q22_highgateEmail"
class="form-textbox validate[required, Email]" data-defaultvalue="" autocomplete="section-input_22 email" style="width:630px" size="630" data-component="email" aria-labelledby="label_22 sublabel_input_22" required="" value=""><label
class="form-sub-label" for="input_22" id="sublabel_input_22" style="min-height:13px">example@example.com</label></span> </div>
</li>
<li class="form-line fixed-width jf-required form-field-hidden" style="display: none !important;" data-type="control_email" id="id_7" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_7" for="input_7"
aria-hidden="false"> Personal Email Address:<span class="form-required">*</span> </label>
<div id="cid_7" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_7" name="q7_personalEmail" class="form-textbox validate[required, Email]"
data-defaultvalue="" autocomplete="section-input_7 email" style="width:630px" size="630" data-component="email" aria-labelledby="label_7 sublabel_input_7" required="" value=""><label class="form-sub-label" for="input_7"
id="sublabel_input_7" style="min-height:13px">example@example.com</label></span> </div>
</li>
<li class="form-line jf-required form-field-hidden" style="display: none !important;" data-type="control_datetime" id="id_40" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_40" for="lite_mode_40"
aria-hidden="false"> Estimated Last Day:<span class="form-required">*</span> </label>
<div id="cid_40" class="form-input-wide jf-required" data-layout="half">
<div data-wrapper-react="true">
<div style="display:none"><span class="form-sub-label-container" style="vertical-align:top"><input type="tel" class="form-textbox validate[required, limitDate]" id="month_40" name="q40_estimatedLast[month]" size="2" data-maxlength="2"
data-age="" maxlength="2" value="" required="" autocomplete="off" aria-labelledby="label_40 sublabel_40_month" inputmode="numeric"><span class="date-separate" aria-hidden="true"> -</span><label class="form-sub-label"
for="month_40" id="sublabel_40_month" style="min-height:13px">Month</label></span><span class="form-sub-label-container" style="vertical-align:top"><input type="tel" class="form-textbox validate[required, limitDate]" id="day_40"
name="q40_estimatedLast[day]" size="2" data-maxlength="2" data-age="" maxlength="2" value="" required="" autocomplete="off" aria-labelledby="label_40 sublabel_40_day" inputmode="numeric"><span class="date-separate"
aria-hidden="true"> -</span><label class="form-sub-label" for="day_40" id="sublabel_40_day" style="min-height:13px">Day</label></span><span class="form-sub-label-container" style="vertical-align:top"><input type="tel"
class="form-textbox validate[required, limitDate]" id="year_40" name="q40_estimatedLast[year]" size="4" data-maxlength="4" data-age="" maxlength="4" value="" required="" autocomplete="off"
aria-labelledby="label_40 sublabel_40_year"><label class="form-sub-label" for="year_40" id="sublabel_40_year" style="min-height:13px">Year</label></span></div><span class="form-sub-label-container" style="vertical-align:top"><input
type="text" class="form-textbox validate[required, limitDate, validateLiteDate]" id="lite_mode_40" size="12" data-maxlength="12" data-age="" value="" required="" data-format="mmddyyyy" data-seperator="-" placeholder="MM-DD-YYYY"
data-placeholder="MM-DD-YYYY" autocomplete="off" aria-labelledby="label_40 sublabel_40_litemode" inputmode="numeric"><img class="showAutoCalendar newDefaultTheme-dateIcon icon-liteMode" alt="Pick a Date" id="input_40_pick"
src="https://edgecommunications.jotform.com/images/calendar.png" data-component="datetime" aria-hidden="true" data-allow-time="No" data-version="v2"><label class="form-sub-label" for="lite_mode_40" id="sublabel_40_litemode"
style="min-height:13px">Date of Last Day</label></span>
</div>
</div>
</li>
<li id="cid_12" class="form-input-wide" data-type="control_pagebreak">
<div class="form-pagebreak" data-component="pagebreak">
<div class="form-pagebreak-back-container"></div>
<div class="form-pagebreak-next-container"><button id="form-pagebreak-next_12" type="button" class="form-pagebreak-next jf-form-buttons" data-component="pagebreak-next">Next</button></div>
<div style="clear:both" class="pageInfo form-sub-label" id="pageInfo_12"></div>
</div>
</li>
</ul>
<ul class="form-section page-section" style="display:none;">
<li id="cid_8" class="form-input-wide" data-type="control_head">
<div class="form-header-group header-default">
<div class="header-text httal htvam">
<h2 id="header_8" class="form-header" data-component="header">Highgate Equipment Information</h2>
<div id="subHeader_8" class="form-subHeader">All information will be used for equipment shipment and shipment communication.</div>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_30" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_30" aria-hidden="false"> Please identify what Highgate equipment you currently
have. Select all that apply.<span class="form-required">*</span> </label>
<div id="cid_30" class="form-input-wide jf-required" data-layout="full">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_30" data-component="checkbox"><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_30"
class="form-checkbox validate[required]" id="input_30_0" name="q30_pleaseIdentify30[]" value="Company Cell Phone" required=""><label id="label_input_30_0" for="input_30_0">Company Cell Phone</label></span><span
class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_30" class="form-checkbox validate[required]" id="input_30_1" name="q30_pleaseIdentify30[]" value="Laptop" required=""><label
id="label_input_30_1" for="input_30_1">Laptop</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_30"
class="form-checkbox validate[required]" id="input_30_2" name="q30_pleaseIdentify30[]" value="Monitor(s)" required=""><label id="label_input_30_2" for="input_30_2">Monitor(s)</label></span><span class="form-checkbox-item"><span
class="dragger-item"></span><input type="checkbox" aria-describedby="label_30" class="form-checkbox validate[required]" id="input_30_3" name="q30_pleaseIdentify30[]" value="Docking Station" required=""><label id="label_input_30_3"
for="input_30_3">Docking Station</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_30" class="form-checkbox validate[required]"
id="input_30_4" name="q30_pleaseIdentify30[]" value="Keyboard" required=""><label id="label_input_30_4" for="input_30_4">Keyboard</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox"
aria-describedby="label_30" class="form-checkbox validate[required]" id="input_30_5" name="q30_pleaseIdentify30[]" value="None of the above" required=""><label id="label_input_30_5" for="input_30_5">None of the
above</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_30" class="form-checkbox validate[required]" id="input_30_6"
name="q30_pleaseIdentify30[]" value="Mouse" required=""><label id="label_input_30_6" for="input_30_6">Mouse</label></span></div>
</div>
</li>
<li class="form-line" style="" data-type="control_checkbox" id="id_31" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_31" aria-hidden="false"> Which devices do you have the original boxes to? Select all
that apply. </label>
<div id="cid_31" class="form-input-wide" data-layout="full">
<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_31" data-component="checkbox"><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_31"
class="form-checkbox" id="input_31_0" name="q31_whichDevices31[]" value="Laptop"><label id="label_input_31_0" for="input_31_0">Laptop</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input
type="checkbox" aria-describedby="label_31" class="form-checkbox" id="input_31_1" name="q31_whichDevices31[]" value="Monitor(s)"><label id="label_input_31_1" for="input_31_1">Monitor(s)</label></span><span class="form-checkbox-item"
style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_31" class="form-checkbox" id="input_31_2" name="q31_whichDevices31[]" value="Docking Station"><label id="label_input_31_2"
for="input_31_2">Docking Station</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_31" class="form-checkbox" id="input_31_3" name="q31_whichDevices31[]"
value="Keyboard"><label id="label_input_31_3" for="input_31_3">Keyboard</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_31"
class="form-checkbox" id="input_31_4" name="q31_whichDevices31[]" value="Mouse"><label id="label_input_31_4" for="input_31_4">Mouse</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input
type="checkbox" aria-describedby="label_31" class="form-checkbox" id="input_31_5" name="q31_whichDevices31[]" value="None of the above"><label id="label_input_31_5" for="input_31_5">None of the above</label></span></div>
</div>
</li>
<li class="form-line jf-required" style="" data-type="control_address" id="id_6" data-compound-hint=",,,,Please Select,,Please Select," data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_6"
for="input_6_addr_line1" aria-hidden="false"> Please provide your home address. Information will be used for return labels.<span class="form-required">*</span> </label>
<div id="cid_6" class="form-input-wide jf-required" data-layout="full">
<div summary="" class="form-address-table jsTest-addressField">
<div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-street-line jsTest-address-lineField"><span class="form-sub-label-container" style="vertical-align:top"><input type="text"
id="input_6_addr_line1" name="q6_pleaseProvide[addr_line1]" class="form-textbox validate[required] form-address-line" data-defaultvalue="" autocomplete="section-input_6 address-line1" data-component="address_line_1"
aria-labelledby="label_6 sublabel_6_addr_line1" required="" value="" maxlength="100"><label class="form-sub-label" for="input_6_addr_line1" id="sublabel_6_addr_line1" style="min-height:13px">Street Address</label></span></span>
</div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-street-line jsTest-address-lineField"><span class="form-sub-label-container" style="vertical-align:top"><input type="text"
id="input_6_addr_line2" name="q6_pleaseProvide[addr_line2]" class="form-textbox form-address-line" data-defaultvalue="" autocomplete="section-input_6 address-line2" data-component="address_line_2"
aria-labelledby="label_6 sublabel_6_addr_line2" required="" value="" maxlength="100"><label class="form-sub-label" for="input_6_addr_line2" id="sublabel_6_addr_line2" style="min-height:13px">Street Address Line
2</label></span></span></div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-city-line jsTest-address-lineField "><span class="form-sub-label-container" style="vertical-align:top"><input type="text"
id="input_6_city" name="q6_pleaseProvide[city]" class="form-textbox validate[required] form-address-city" data-defaultvalue="" autocomplete="section-input_6 address-level2" data-component="city"
aria-labelledby="label_6 sublabel_6_city" required="" value="" maxlength="60"><label class="form-sub-label" for="input_6_city" id="sublabel_6_city" style="min-height:13px">City</label></span></span><span
class="form-address-line form-address-state-line jsTest-address-lineField "><span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_6_state" name="q6_pleaseProvide[state]"
class="form-textbox validate[required] form-address-state" data-defaultvalue="" autocomplete="section-input_6 address-level1" data-component="state" aria-labelledby="label_6 sublabel_6_state" required="" value=""
maxlength="60"><label class="form-sub-label" for="input_6_state" id="sublabel_6_state" style="min-height:13px">State / Province</label></span></span></div>
<div class="form-address-line-wrapper jsTest-address-line-wrapperField"><span class="form-address-line form-address-zip-line jsTest-address-lineField "><span class="form-sub-label-container" style="vertical-align:top"><input type="text"
id="input_6_postal" name="q6_pleaseProvide[postal]" class="form-textbox validate[required] form-address-postal" data-defaultvalue="" autocomplete="section-input_6 postal-code" data-component="zip"
aria-labelledby="label_6 sublabel_6_postal" required="" value="" maxlength="20"><label class="form-sub-label" for="input_6_postal" id="sublabel_6_postal" style="min-height:13px">Postal / Zip Code</label></span></span></div>
</div>
</div>
</li>
<li id="cid_36" class="form-input-wide form-field-hidden" style="display: none !important;" data-type="control_head">
<div class="form-header-group header-default">
<div class="header-text httal htvam">
<h2 id="header_36" class="form-header" data-component="header">Company Cell Phone Information</h2>
</div>
</div>
</li>
<li class="form-line form-line-column form-col-1 jf-required form-field-hidden" style="display: none !important;" data-type="control_dropdown" id="id_29" data-progress="false"><label class="form-label form-label-top" id="label_29"
for="input_29" aria-hidden="false"> Select the type of cell phone device.<span class="form-required">*</span> </label>
<div id="cid_29" class="form-input-wide jf-required" data-layout="half"> <select class="form-dropdown validate[required]" id="input_29" name="q29_selectThe" style="width:310px" data-component="dropdown" required=""
aria-label="Select the type of cell phone device.">
<option value="">Please Select</option>
<option value="Android">Android</option>
<option value="iPhone">iPhone</option>
</select> </div>
</li>
<li class="form-line form-line-column form-col-2 jf-required form-field-hidden" style="display: none !important;" data-type="control_dropdown" id="id_32" data-progress="false"><label class="form-label form-label-top" id="label_32"
for="input_32" aria-hidden="false"> Select the choice of carrier.<span class="form-required">*</span> </label>
<div id="cid_32" class="form-input-wide jf-required" data-layout="half"> <select class="form-dropdown validate[required]" id="input_32" name="q32_selectThe32" style="width:310px" data-component="dropdown" required=""
aria-label="Select the choice of carrier.">
<option value="">Please Select</option>
<option value="ATT">ATT</option>
<option value="Verizon">Verizon</option>
</select> </div>
</li>
<li class="form-line jf-required form-field-hidden" style="display: none !important;" data-type="control_radio" id="id_33" data-progress="false"><label class="form-label form-label-top form-label-auto" id="label_33" aria-hidden="false"> Was
this a company provided line or a personal line?<span class="form-required">*</span> </label>
<div id="cid_33" class="form-input-wide jf-required" data-layout="full">
<div class="form-single-column" role="group" aria-labelledby="label_33" data-component="radio"><span class="form-radio-item" style="clear:left"><span class="dragger-item"></span><input type="radio" aria-describedby="label_33"
class="form-radio validate[required]" id="input_33_0" name="q33_wasThis" value="Company Line" required=""><label id="label_input_33_0" for="input_33_0">Company Line</label></span><span class="form-radio-item" style="clear:left"><span
class="dragger-item"></span><input type="radio" aria-describedby="label_33" class="form-radio validate[required]" id="input_33_1" name="q33_wasThis" value="Personal Line" required=""><label id="label_input_33_1"
for="input_33_1">Personal Line</label></span></div>
</div>
</li>
<li class="form-line form-field-hidden" style="display: none !important;" data-type="control_text" id="id_38">
<div id="cid_38" class="form-input-wide" data-layout="full">
<div id="text_38" class="form-html" data-component="text" tabindex="0">
<p><strong>Personal Line</strong></p>
<p>If your cell line needs to be transferred back to you, we will use the personal email you provided to submit the request to the carrier. You will receive an email from the carrier with the instructions of the transfer process.</p>
<p><em><strong>Please note that if the transfer is not completed in the time frame stated in the email, the request will automatically be cancelled by the carrier and you will lose the number.</strong></em></p>
</div>
</div>
</li>
<li class="form-line form-field-hidden" style="display: none !important;" data-type="control_text" id="id_35">
<div id="cid_35" class="form-input-wide" data-layout="full">
<div id="text_35" class="form-html" data-component="text" tabindex="0">
<p><strong>Returning Company Cell Phone</strong></p>
<p>Before returning the cell phone, please follow these intructions.</p>
<p>If you have an<strong> Android, </strong>please reset your phone.</p>
<p>If you have an<strong> iPhone:</strong></p>
<ol style="list-style-type: decimal;">
<li>Sign out of your Apple ID.</li>
<li>Reset your phone.</li>
</ol>
<p><em><strong>Please note that if you do not follow the instructions above, we will need to request the passcode of the phone and the Apple ID password.</strong></em></p>
</div>
</div>
</li>
<li class="form-line" data-type="control_text" id="id_37">
<div id="cid_37" class="form-input-wide" data-layout="full">
<div id="text_37" class="form-html" data-component="text" tabindex="0">
<p><strong>Company Property & Company Issued Items</strong></p>
<p>As stated in the Associate Playbook, you are required to return all company property and company isssued items, such as laptops and keycards, upon your departure. Please handle items with care upon returning them.</p>
<p>All equipment will need to be returned no later than 1 week following your last day. The IT department will provide the return labels to you via email. You are responsible for bringing all equipment to your local FedEx to be shipped
out and boxed if you do not have original boxes. </p>
</div>
</div>
</li>
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<h2 id="header_9" class="form-header" data-component="header">Application and System Access</h2>
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<li class="form-line jf-required" data-type="control_checkbox" id="id_21"><label class="form-label form-label-top form-label-auto" id="label_21" aria-hidden="false"> Please select all applications you have had access to during your time with
Highgate:<span class="form-required">*</span> </label>
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<div class="form-multiple-column" data-columncount="2" role="group" aria-labelledby="label_21" data-component="checkbox"><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21"
class="form-checkbox validate[required]" id="input_21_0" name="q21_typeA21[]" value="ADP Enterprise (Ev5)" required=""><label id="label_input_21_0" for="input_21_0">ADP Enterprise (Ev5)</label></span><span
class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_1" name="q21_typeA21[]" value="ADP GL" required=""><label
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class="form-checkbox validate[required]" id="input_21_2" name="q21_typeA21[]" value="ADP i9" required=""><label id="label_input_21_2" for="input_21_2">ADP i9</label></span><span class="form-checkbox-item"><span
class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_3" name="q21_typeA21[]" value="ADP Timesaver" required=""><label id="label_input_21_3"
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id="input_21_4" name="q21_typeA21[]" value="Birchstreet" required=""><label id="label_input_21_4" for="input_21_4">Birchstreet</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox"
aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_5" name="q21_typeA21[]" value="Blackline" required=""><label id="label_input_21_5" for="input_21_5">Blackline</label></span><span
class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_6" name="q21_typeA21[]" value="Concur"
required=""><label id="label_input_21_6" for="input_21_6">Concur</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21"
class="form-checkbox validate[required]" id="input_21_7" name="q21_typeA21[]" value="Credit Card Portal" required=""><label id="label_input_21_7" for="input_21_7">Credit Card Portal</label></span><span class="form-checkbox-item"
style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_8" name="q21_typeA21[]" value="Chargebacks Portal" required=""><label
id="label_input_21_8" for="input_21_8">Chargebacks Portal</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]"
id="input_21_9" name="q21_typeA21[]" value="Delphi" required=""><label id="label_input_21_9" for="input_21_9">Delphi</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input
type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_10" name="q21_typeA21[]" value="Egencia" required=""><label id="label_input_21_10" for="input_21_10">Egencia</label></span><span
class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_11" name="q21_typeA21[]" value="Fintech" required=""><label
id="label_input_21_11" for="input_21_11">Fintech</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21"
class="form-checkbox validate[required]" id="input_21_12" name="q21_typeA21[]" value="Fusebox - Elavon" required=""><label id="label_input_21_12" for="input_21_12">Fusebox - Elavon</label></span><span class="form-checkbox-item"><span
class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_13" name="q21_typeA21[]" value="Hotel Effectiveness" required=""><label id="label_input_21_13"
for="input_21_13">Hotel Effectiveness</label></span><span class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]"
id="input_21_14" name="q21_typeA21[]" value="Hotel PMS" required=""><label id="label_input_21_14" for="input_21_14">Hotel PMS</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox"
aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_15" name="q21_typeA21[]" value="icims" required=""><label id="label_input_21_15" for="input_21_15">icims</label></span><span class="form-checkbox-item"
style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_16" name="q21_typeA21[]" value="Oracle ERP (Oracle Fusion)" required=""><label
id="label_input_21_16" for="input_21_16">Oracle ERP (Oracle Fusion)</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21"
class="form-checkbox validate[required]" id="input_21_17" name="q21_typeA21[]" value="Oracle PBCS (EPM Cloud)" required=""><label id="label_input_21_17" for="input_21_17">Oracle PBCS (EPM Cloud)</label></span><span
class="form-checkbox-item" style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_18" name="q21_typeA21[]" value="PCard"
required=""><label id="label_input_21_18" for="input_21_18">PCard</label></span><span class="form-checkbox-item"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21"
class="form-checkbox validate[required]" id="input_21_19" name="q21_typeA21[]" value="Profitsword" required=""><label id="label_input_21_19" for="input_21_19">Profitsword</label></span><span class="form-checkbox-item"
style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_20" name="q21_typeA21[]" value="Sertify/Converge/Canary" required=""><label
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class="form-checkbox validate[required]" id="input_21_21" name="q21_typeA21[]" value="ShareIt Online" required=""><label id="label_input_21_21" for="input_21_21">ShareIt Online</label></span><span class="form-checkbox-item"
style="clear:left"><span class="dragger-item"></span><input type="checkbox" aria-describedby="label_21" class="form-checkbox validate[required]" id="input_21_22" name="q21_typeA21[]" value="Tableau" required=""><label
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* EMPLOYEE OFFBOARDING
*
* Full Name:*
First NameLast Name
* Highgate Email:*
example@example.com
* Personal Email Address:*
example@example.com
* Estimated Last Day:*
-Month -DayYear
Date of Last Day
* Next
* HIGHGATE EQUIPMENT INFORMATION
All information will be used for equipment shipment and shipment
communication.
* Please identify what Highgate equipment you currently have. Select all that
apply.*
Company Cell PhoneLaptopMonitor(s)Docking StationKeyboardNone of the
aboveMouse
* Which devices do you have the original boxes to? Select all that apply.
LaptopMonitor(s)Docking StationKeyboardMouseNone of the above
* Please provide your home address. Information will be used for return
labels.*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
* COMPANY CELL PHONE INFORMATION
* Select the type of cell phone device.*
Please Select Android iPhone
* Select the choice of carrier.*
Please Select ATT Verizon
* Was this a company provided line or a personal line?*
Company LinePersonal Line
* Personal Line
If your cell line needs to be transferred back to you, we will use the
personal email you provided to submit the request to the carrier. You will
receive an email from the carrier with the instructions of the transfer
process.
Please note that if the transfer is not completed in the time frame stated in
the email, the request will automatically be cancelled by the carrier and you
will lose the number.
* Returning Company Cell Phone
Before returning the cell phone, please follow these intructions.
If you have an Android, please reset your phone.
If you have an iPhone:
1. Sign out of your Apple ID.
2. Reset your phone.
Please note that if you do not follow the instructions above, we will need to
request the passcode of the phone and the Apple ID password.
* Company Property & Company Issued Items
As stated in the Associate Playbook, you are required to return all company
property and company isssued items, such as laptops and keycards, upon your
departure. Please handle items with care upon returning them.
All equipment will need to be returned no later than 1 week following your
last day. The IT department will provide the return labels to you via email.
You are responsible for bringing all equipment to your local FedEx to be
shipped out and boxed if you do not have original boxes.
* By signing below, I acknowledge that I have read, understand, and agree to
the information above.*
Clear
* Back
Next
* APPLICATION AND SYSTEM ACCESS
* Please select all applications you have had access to during your time with
Highgate:*
ADP Enterprise (Ev5)ADP GLADP i9ADP TimesaverBirchstreetBlacklineConcurCredit
Card PortalChargebacks PortalDelphiEgenciaFintechFusebox - ElavonHotel
EffectivenessHotel PMSicimsOracle ERP (Oracle Fusion)Oracle PBCS (EPM
Cloud)PCardProfitswordSertify/Converge/CanaryShareIt OnlineTableauOther
* Back
Submit
* Should be Empty:
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