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Title Human Resources Service Provider
Target Location US-KY-Georgetown
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Issued by: Issue Date Review Date Revision Date Form # Page 1 of 4Human Resources Street Address /17/2020 03/26/2021 05/04/2021 HR 517 Job Applicants Applying for Employment or Temporary Staffing with Staffmark, Independent Contractors, and Existing Staffmark EmployeesStaffmark collects and processes personal information from applicants for employment with Staffmark, to make employment decisions that involve you and determine your eligibility for temporary staffing employment and/or full time employment with Staffmark, fulfill human resource, employment, and benefit administration purposes, where necessary to comply with any local, state, and federal legal obligations and laws, and for you to maintain your online account with us and personalize your preferences. Staffmark may also use the personal information collected to maintain your employee account with us or provide you with employment as a temporary with another entity. As part of its regular course of business for job applicants and employees with Staffmark, Staffmark collects, and has in the last Street Address  months collected, the following personal information: Category of InformationSource(s) ofPersonalInformationBusiness purposefor which theinformation iscollectedThird Parties withwhominformation maybe sharedPersonal identifiers youprovide when you apply for ajob, supply information foryour benefits, or in context ofyour employment with us,such as your first and lastname, address, email address,unique personal identifiers,nickname, telephone number,date of birth, social securitynumber, driver license numberand expiration date, passportnumber, and/or othergovernment identificationnumbers, immigration andwork authorization status,signature, family name,including your mothersmaiden name, and onlineidentifiers, username and/oraccount nameJob Applicant/Employee (directlyor via third party orservice providerwebsite orapplication)Third Partiesand/or ServiceProviders used forassignmentapplications,selections, andschedulingEmployment andapplicationevaluationStaffingClients/CustomersService providersand websites/appsthat assist withscheduling andassignmentavailabilityDemographic information suchage, color, ancestry, nationalorigin, citizenship, maritalstatus, physical or mentalJob Applicant/Employee (directlyor via third party orservice providerEmploymentBenefitsService providersBenefit providersandIssued by: Issue Date Review Date Revision Date Form # Page 2 of 4 Human Resources 01/17/2020 03/26/2021 05/04/2021 HR 517 disability, medical condition,sex, gender (including genderidentity, gender expression),and veteran or military statuswebsite orapplication)Administration AdministratorsGovernmentagenciesStaffing Clients/CustomersFinancial information such asbanking information for directdeposit, debit card number,credit card number, taxselections, pay rate, PayCardinformation, payroll deductioninformation, medicalinformation, and healthinsurance informationJob Applicant/Employee (directlyor via third party orservice providerwebsite orapplication)EmploymentBenefitsAdministrationService providersBenefit providersandAdministratorsProfessional and employment-related information such ascurrent or past employmenthistory, salary information,employee status and title, jobevaluations, employmentstatus, work schedule, jobassignments, hours worked,training and developmentinformation, performanceevaluation information,disciplinary and counselinginformation, and terminationinformationJob Applicant/Employee (directlyor via third party orservice providerwebsite orapplication)ApplicantsprofessionalreferencesEmploymentBenefitsAdministrationService providersStaffing Clients/CustomersBiometric information such asfacial recognition, fingerprints,retina scans, voice recordings,and othersJob Applicant/EmployeeEmployment,including timeentryService providers(with your expressconsent)Sensory data such as youraudio and visual informationwhen conducting interviewthrough voice and video callsJob Applicant/EmployeeEmploymentIssued by: Issue Date Review Date Revision Date Form # Page 3 of 4 Human Resources 01/17/2020 03/26/2021 05/04/2021 HR 517 Internet or other similarnetwork connectivity, such asIP address, browsing history,search history, cookies,applications, email use, andinteraction with Staffmarkswebsites and interactive appsJob Applicant/EmployeeUser web browserService Providers Service providersGeolocation data that can beused to identify your physicallocation or movementsStaffmark internalrecords, includingfor job assignmentsJob Applicant/Employee (directlyor throughscheduling andwork selection appsand websites suchas, but not limitedto, Indeed Flex andWorkNOW,through the use ofour website, byclocking in and out,and location of jobassignments)Third Partiesand/or ServiceProviders used forassignmentapplications,selections, andschedulingEmployment,includingfacilitatingselection andscheduling ofassignmentsService providersStaffing Clients/CustomersEducation information such aseducation history, grades,transcripts, and disciplinaryhistoryJob Applicant/EmployeeEmploymentevaluationStaffing Clients/CustomersHealth and Safety Informationsuch as health conditions, ifrelevant to your employment,job restrictions, workplaceJob Applicant/EmployeeEmploymentEmploymentGovernmentagenciesIssued by: Issue Date Review Date Revision Date Form # Page 4 of 4 Human Resources 01/17/2020 03/26/2021 05/04/2021 HR 517 accident and illnessinformation, and healthinsurance policy informationaccommodationBenefitsAdministrationBenefit providersStaffing Clients/CustomersInferences drawn frompersonal preferences youprovide to us, such ascharacteristics,predispositions, behavior,attitudes, intelligence,abilities, and aptitudes for ajob or taskJob Applicant/EmployeeStaffmark internalrecordsEmploymentevaluationStaffing Clients/CustomersBeneficiary Information ofyour beneficiaries anddependents and EmergencyContact Information ofperson(s) you designate asyour emergency contact(s)Job Applicant/EmployeeBenefitsAdministrationEmergenciesService providersBenefit providersandAdministrators

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