HR STAFF:


Carrie Womble
Assistant Human Resources Director
501 982-0528 ext. 1213
Carrie Womble

Trina Kennedy
HR Specialist - New Hire Processing
501 982-0528 ext 1217
Trina Kennedy

 

Brittany Young
HR Specialist
501 9820528 ext. 1214
Brittany Young

Michelle Andrews
HR Specialist - Document Management and Recruitment
501 982-0528 ext. 1220
Michelle Andrews

 


FORMS


HR Forms | Worker's Comp Forms | Miscellaneous Forms | Insurance Forms

Google Chrome works best for these forms. To use the fillable forms, download the form to your computer, fill it in and save it with a new name.

HR Form Links

ADA Forms

ADULT MALTREATMENT FORM

BACKGROUND CHECK-OLTC

BIRTH CERTIFICATE REQUEST FORM

CHILD MALTREATMENT-ACADEMY

CHILD MALTREATMENT FORM-BLANK

CHILD MALTREATMENT-MH

CHILD MALTREATMENT-PRESCHOOL

CLIENT EVALUATION FORM

CRIMINAL RECORD CHECK-STATE

CRIMINAL RECORD CHECK-NATIONAL

CRIMINAL RECORD CHECK-PSI

DIRECT DEPOSIT AGREEMENT

DISCIPLINARY ACTION FORM

DRIVER QUESTIONNAIRE

EMERGENCY CONTACT FORM

EMPLOYEE CHANGE OF STATUS-Fillable Form
EMPLOYEE CHANGE OF STATUS-PDF printable (non-fillable)

EVALUATION FORMS

EXIT INTERVIEW FORM AND PROCEDURES

I-9 FORM WITH INSTRUCTIONS

JOB DESCRIPTION LIST

NON-DRIVER INFORMATION FORM

PATHFINDER BENEFITS BOOKLET

PATHFINDER PAY SCALE

PATHFINDER POLICY & PROCEDURES HANDBOOK

PERFORMANCE IMPROVEMENT PLAN

PERSONAL LEAVE REQUEST-ADVANCED

PERSONNEL REQUEST FORM

REFERENCE RELEASE FORM

SPECIAL ENTRY RATE FORM

TAX FORM-2017 W-4

TAX FORM-AR STATE

WORKER'S COMPENSATION FORMS

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ABOUT WORKER'S COMPENSATION INJURIES

WORKER'S COMPENSATION FORM P

IF YOU ARE NOT SURE WHAT NEEDS TO BE DONE, PLEASE CONTACT HR AND WE WILL GLADLY ADVISE YOU.
501 982-0528

(1) WORKER'S COMPENSATION INCIDENT REPORT

(2) FIRST REPORT OF INJURY OR ILLNESS

(3) EMPLOYEE'S NOTICE OF INJURY - WC FORM N

(4) SUPPLEMENTAL REPORT - WC FORM S

MISCELLANEOUS FORMS

PATHFINDER ACADEMY LOGO

PATHFINDER FAX COVER SHEET

PATHFINDER LOGO

PATHFINDER PROPERTY FORM

PATHFINDER TRAVEL FORM

INSURANCE FORM LINKS

5STAR LIFE INSURANCE FORM

DENTAL AND VISION FORM

HEALTH ADVANTAGE FORM

LINCOLN BENEFICIARY FORM

LINCOLN ENROLLMENT FORM

PATHFINDER CREDITABLE COVERAGE LETTER

 

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Physical Location:
2520 W. Main St
Jacksonville, AR
Map

Phone: (501) 982-0528
Fax: (501) 533-6359