Leadership Change Form
* Today's Date
Field is required!
* Effective Date
Field is required!
* Type of Change
- Select an Option -
Onboarding
Promotion
Termination
Field is required!
* Regional/District Manager
Field is required!
* Team Member Name
Field is required!
* Position
Field is required!
* Location
Field is required!
Provision Requested (check all that apply)
Email Address
Business Cards
Dropbox Access
Hubspot Access
Paycom Client Access
Site Laptop
Corporate Laptop
Field is required!
[{"field":"type_of_change","logic":"equal","value":"onboarding","and_method":"","field_and":"today","logic_and":"","value_and":""}]
* Team Member Personal Email Address
[{"field":"provisions_requested","logic":"contains","value":"1","and_method":"","field_and":"provisions_requested","logic_and":"","value_and":""}]
Field is required!
* Team Member Phone Number
[{"field":"provisions_requested","logic":"contains","value":"2","and_method":"","field_and":"provisions_requested","logic_and":"","value_and":""}]
Field is required!
* Does the laptop need to be shipped?
Yes
No
[{"field":"provisions_requested","logic":"contains","value":"6","and_method":"or","field_and":"provisions_requested","logic_and":"contains","value_and":"7"}]
Field is required!
* Shipping Address for Laptop
[{"field":"ship_laptop","logic":"equal","value":"yes","and_method":"","field_and":"provisions_requested","logic_and":"","value_and":""}]
Field is required!
[{"field":"type_of_change","logic":"equal","value":"onboarding","and_method":"","field_and":"today","logic_and":"","value_and":""}]
* Signed Offer Letter Upload
Click here to upload signed offer letter.
[{"field":"type_of_change","logic":"equal","value":"onboarding","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
* Regional/District Manager
Field is required!
* Team Member Name
Field is required!
* Current Position
Field is required!
* New Position
Field is required!
* Current Location
Field is required!
* New Location
Field is required!
Provision Requested (check all that apply)
Email Address
Business Cards
Dropbox Access
Hubspot Access
Paycom Client Access
Site Laptop
Corporate Laptop
Field is required!
* Team Member Personal Email Address
[{"field":"promo_provisions","logic":"contains","value":"1","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
* Team Member Phone Number
[{"field":"promo_provisions","logic":"contains","value":"2","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
* Does the laptop need to be shipped?
Yes
No
[{"field":"promo_provisions","logic":"contains","value":"6","and_method":"or","field_and":"promo_provisions","logic_and":"contains","value_and":"7"}]
Field is required!
* Shipping Address for Laptop
[{"field":"promo_ship_laptop","logic":"equal","value":"yes","and_method":"","field_and":"promo_ship_laptop","logic_and":"","value_and":""}]
Field is required!
[{"field":"type_of_change","logic":"equal","value":"promotion","and_method":"","field_and":"today","logic_and":"","value_and":""}]
* Signed Offer Letter Upload
Click here to upload signed offer letter.
[{"field":"type_of_change","logic":"equal","value":"promotion","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
* Regional/District Manager
Field is required!
* Team Member Name
Field is required!
* Current Position
Field is required!
* Current Location
Field is required!
Remove Access (check all that apply)
Email
Dropbox
Hubspot
Paycom Client
Return Laptop
Field is required!
Forwarding Email Address
[{"field":"term_remove_access","logic":"contains","value":"1","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
* Send Laptop Return Label to Email Address
[{"field":"term_remove_access","logic":"contains","value":"5","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Field is required!
[{"field":"type_of_change","logic":"equal","value":"termination","and_method":"","field_and":"today","logic_and":"","value_and":""}]
Additional Information
Field is required!
Submit
[{"field":"provisions_requested","logic":"contains","value":"1","and_method":"or","field_and":"provisions_requested","logic_and":"contains","value_and":"2","new_value":"rsantellana@pinnacleahs.com"},{"field":"provisions_requested","logic":"contains","value":"6","and_method":"or","field_and":"provisions_requested","logic_and":"contains","value_and":"7","new_value":"rsantellana@pinnacleahs.com"},{"field":"provisions_requested","logic":"contains","value":"3","and_method":"","field_and":"provisions_requested","logic_and":"","value_and":"","new_value":"randysantellana@gmail.com"}]