Lamdeinu — New Employee Onboarding

Step 1 of 9

Personal information

Fills automatically across all official forms in your packet.

First name *

Last name *

Middle initial

Date of birth *

Home address *

Apt / unit

City *

State

ZIP code *

Social Security # *

Phone *

Email address *

Step 2 of 9 — Form I-9

Employment eligibility

USCIS Form I-9 · OMB No. 1615-0047 · Expires 05/31/2027

Citizenship / immigration status — check one

A citizen of the United States A noncitizen national of the United States A lawful permanent resident An alien authorized to work

USCIS A-Number (if applicable)

Authorization expiration date

Form I-94 Admission Number (if applicable)

Other last names used (if any)

Step 3 of 9 — NY IT-2104 (2026)

NY State withholding

Employee's Withholding Allowance Certificate · NY State · NYC · Yonkers

I am a resident of New York City (Bronx, Brooklyn, Manhattan, Queens, or Staten Island) I am a resident of Yonkers

Filing status

Single or head of household Married Married, but withhold at higher single rate

Allowances

Line 1 — NY State & Yonkers allowances

Line 2 — NYC allowances

Line 3 — Additional NY State withholding

Line 4 — Additional NYC withholding

Line 5 — Additional Yonkers withholding

Step 4 of 9 — Federal W-4 (2026)

Federal withholding

Employee's Withholding Certificate · IRS Form W-4 · OMB No. 1545-0074

Step 1(c) — filing status

Single or married filing separately Married filing jointly or qualifying surviving spouse Head of household

Step 2 — multiple jobs

Only two jobs total — check this box and do the same on the W-4 for the other job

Step 3 — dependents & credits

Qualifying children under 17 (× $2,200)

Other dependents (× $500)

Step 4 — other adjustments (optional)

Other income not from jobs

Deductions (if itemizing)

Extra withholding per pay period

Claim exemption from withholding for 2026

Step 5 of 9 — LS-55TL

Pay rate & payday notice

NY Dept of Labor · Section 195.1 · Notice for Multiple Hourly Rate Employees

Pay rates

Primary rate

Type of work

Secondary rate (if any)

Type of work

Schedule

Regular payday

Pay frequency

Overtime rate

Start date

Language preference

Pay notice given in English (my primary language) My primary language is other than English

Step 6 of 9

Corporate compliance

Lamdeinu is committed to the highest standards of honesty, integrity, and ethical conduct. All employees must comply with all policies, protect confidentiality, submit accurate records, avoid conflicts of interest, and immediately report suspected fraud, abuse, or misconduct.

The Corporate Compliance Officer is Idy Weiss — corporatecompliance@hamaspikschool.org · 718-408-4444 x102. Anonymous reports accepted. Retaliation against good-faith reporters is strictly prohibited.

I received and reviewed Lamdeinu's Corporate Compliance Policy & Code of Conduct/Ethics. I understand my responsibility to comply with all policies, legal requirements, and ethical standards. I understand I must report suspected violations to the CCO and that retaliation against reporters is prohibited.

Step 7 of 9

Electronic monitoring

Lamdeinu may monitor any activity on its electronic systems at any time — including email, messaging, internet, Wi-Fi (including personal devices), phone calls, voicemail, files, login activity, and video in public areas. Never in bathrooms or private locations.

Employees have no expectation of privacy on any organization device, network, or communication system. All technology must be used professionally and for organization-related purposes only.

I acknowledge Lamdeinu's Electronic Monitoring Policy and understand I have no expectation of privacy on organizational systems.

Step 8 of 9

Mandated reporter

Under NY State Social Services Law §413, you are a Mandated Reporter if your role involves regular contact with children. You must immediately report suspected child abuse, maltreatment, or neglect.

NY State Child Abuse Hotline: 1-800-635-1522 — call immediately AND notify administration. You do not need proof, only reasonable suspicion. Reports are confidential.

I understand my obligations as a Mandated Reporter under NY State Social Services Law §413. I will call 1-800-635-1522 and notify administration immediately if I suspect child abuse or maltreatment. I understand failure to report can result in legal penalties, and that Lamdeinu prohibits retaliation against reporters.

Step 9 of 9

Review & submit

Review your information. When you click Submit, your completed packet will be downloaded to your device AND emailed to Lamdeinu HR.

HR will collect wet signatures on the official paper forms on your first day as required by law.