New Hire Form – For Internal Use Only

Complete this form, save it to your hard drive, then send as an attachment via e-mail to: CBRES
Part I – to be completed by Hiring Manager/Supervisor (Position Owner)

New Hire's Last Name:       First Name:       Full Middle Name:       CAI:      

Position Title:       Start Date:      

Department:       Type: Employee
Supervisor's Name:       Contractor End date:      
Supervisor's phone:       (CAI authorization can be six (6) month increments only)
Supervisor's CAI:       Temp  End date:      
Department's VP/Director:       Transfer  From:      
(Director will receive a copy of this completed form) **Required for All New Hires:
Last 5 digits only of Social Security #:      
ACTIVATION & EQUIPMENT ASSIGNMENT TAKES AS MUCH AS 10 Plus GO-272 Form (Contractors & Temps)
BUSINESS DAYS. PLEASE PLAN ACCORDINGLY.
Contract docs approved by CES Legal
**NEW HIRE CHECKLIST WILL BE FORWARDED TO SUPERVISOR & Name & Date:            
NEW HIRE UPON CAI ACTIVATION. COMPLETION REQUIRED. Agency Name (required):      

Cost Center #: DCMES0

Cost Center (new)#: DCMES Facility Code: DCMES00
Activity Code: Contact SF Time Admin @415-733-xxxx

Full work address & Phone Number and Cell Phone Address:      
where employee will be located: City, State, Zip:      ,         
Phone Number: (   )     -     
---Specify: CES Office Home Office or Other Cell Phone: (   )     -     
CES project location:      

Proliance Category: indicate choice from Pull Down

Specify Other:            

CHECK OFF ALL APPLICABLE AREAS:

Standard Desktop – (Check one) In House SHIP
Standard Laptop – (Check one) In House SHIP
Additional Hardware (specify)      
Utilize existing computer set-up – contact:      
SmartBadge (Required: Application GO1680 form and approved picture identification.
(Process to be completed after CAI activation.)
Issue temporary TCard (pending S-Badge processing) Note expiration date:      
Other Software (specify, i.e, Microsoft Professional, Proliance Forecasting Tool)      
Internet access ($):      
SecureID, NetGIL Remote User Bundle w/GIL equip. ($)      
Non-GIL equip SecureID, NetGIL, Remote User Bundle ($)      
Legal Requirement: “Business Conduct & Ethics” **NEW HIRE CHECKLIST WILL BE FORWARDED TO SUPERVISOR & NEW HIRE
UPON CAI ACTIVATION. COMPLETION REQUIRED
Legal Requirement: “CES Agreement Concerning Proprietary Information & Non-Solicitation”
On-line copy to be read and acknowledged on-line after CVX GO-260 but within 3 business
days of hire. See the CES intranet set/Legal/Proprietary Agreement **NEW HIRE CHECKLIST WILL BE
FORWARDED TO SUPERVISOR & NEW HIRE UPON CAI ACTIVATION. COMPLETION REQUIRED
Legal Requirement: “Manual of Compliance Procedures & Guidelines” Reading.
Chevron ES employees and contractors are required to read and acknowledge the
following sections of the MCPG -- section 1 (internal controls), section 2 (conflict
of interest), section 4 (lobbying activities), & section 10 (Investigation Protocol)
within two (2) weeks of being employed **NEW HIRE CHECKLIST WILL BE FORWARDED TO SUPERVISOR & NEW HIRE UPON
CAI ACTIVATION. COMPLETION REQUIRED
IT Agreement: Information Protection Training Modules & GO 271 **NEW HIRE CHECKLIST WILL BE FORWARDED TO
SUPERVISOR & NEW HIRE UPON CAI ACTIVATION. COMPLETION REQUIRED
Repetitive Stress Injury Prevention Plan (“RSIP) On-Line Tool (sent after CAI activation):
CES Shared (SF) “W” drive, etc. (specify folder names)      
CES Shared (OVPK) “K” drive, etc. (specify folder names)      
CES Shared (OVPK) “J” drive, etc. (specify folder names)      
CES Shared (Pasadena) “O” drive, etc. (specify folder names)      
Rev 2/17/09 ICB
 New Hire or Transfer (Chevron opco) to CES (not Contractors) ADD to “chvpk ces-HR_InfoAllEmpl_ro” active directory
group      

BUILDING/SECURITY CODES
For SF ➔ check all that apply:
18 &/or 30 elevator lobby doors; after hours access; 30th fl computer room;      
For Satellite office ➔ Specify access required:      

OPTIONAL CREDIT CARDS/EQUIPMENT (NOT APPLICABLE FOR CONTRACTORS OR TEMPORARY STAFF)

Purchasing Card (on-line submission with CAI activation)
TEA Corporate Travel Card (form required on-line submission with CAI activation)
TEA Travel Account Setup (hardcopy form required, must be mailed)
Business Card (form required “W” drive , Pcard required, must be emailed to SF
Phone Calling Card (form required on-line Telecommunications)
New Supervisor: delegation of DOEA is necessary
Cell Phone Specify Area Code desired: 1st choice:      2nd Choice:       Provider Choice:
Blackberry ➔ Specify Area Code desired: 1st choice:      2nd Choice:       Provider Choice:

SF OFC. MGT. TEAM SATELLITE OFC.

Designate seating Cube #       Cube #      
Designate telephone number Ext.       Ext.      
Designate fax number Ext.       Ext.      

Rev 2/17/09 ICB