07/2018

Availability to work overtime if needed:

List any periods of unavailability:

OF DEGREE

I would like to receive text msgs from Boly:Welch regarding my job search. Yes No

Please consider me for (check all that apply):

Direct-Hire Contract Temporary

Connection:

NOTE: PLEASE SAVE THE REGISTRATION FORM PRIOR TO FILLING OUT

It is the policy of Boly:Welch to help ensure equal employment opportunity and prohibit discrimination or harassment on the basis of race, color, religion, age, gender, gender identity, sexual orientation, national origin, citizenship, disability, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy/maternity leave), veteran status, or any other characteristic protected by law.

X

Name: Company: Position: Phone: Relationship:

I, the undersigned applicant, authorize Boly:Welch to assist me in securing employment for employer-paid positions only. I understand I am under no obligation to Boly:Welch. I will not contact any clients without the clearance of my Boly:Welch recruiter or staffing consultant. I hereby give permission for references to be checked for the purposes of employment and understand that upon my request, if such references have been secured, Boly:Welch will share that information with me. I will keep Boly:Welch informed about my results of all arranged interviews and will advise them at once upon acceptance of employment. It is my understanding that any and all information I encounter while working with Boly:Welch and/or its clients is to be handled in a confidential manner. While on, during, or any time after an assignment, I will not remove, copy, or share any information including client lists, pricing information, financial information, or any and all information deemed private or confidential.

LEGAL

Legal Specalities Practice AreasBeg Int Adv Litigation Beg Int Adv Corporate/Transactional Beg Int Adv Legal Software

Admiralty/Maritime Aviation Amicus

Antitrust Banking Case Map

Appellate Biotechnology CLAS

Asbestos Blue Sky Clio

Aviation Consumer Finance Coding

Bankruptcy (Ch. 11) Contracts Concordance

Bankruptcy (Ch. 7,13) Commercial Lending Connect

Civil Energy/Utilities Corp Focus

Collections Entertainment Cross Reference

Commercial Finance CRM

Construction Franchise Docufind

Criminal Immigration Docs Open

Domestic Relations Intellectual Property Dowfind

Employment Copyright Filemaker Pro

Employee Benefits Patent FileSite

Environmental Law Patent Prosecution iBlaze

ERISA Trademark iManage

Governmental International In Magic

Healthcare International Trade LandTech

Insurance Defense Investment Mgt. Lease Abstraction

Intellectual Property Lease Abstraction Lexis Nexis

Copyright Licensing Agreements LSS

Patent Mergers & Acquisitions Microsoft Word

Patent Prosecution Real Estate Microsoft Excel

Trademark Regulatory PC Docs

Juvenile Residential Real Estate Perfect Law

Labor Law Securities ProLaw

Landlord/Tenant Tax Federal Relativity

Medical Malpractice Tax State Soft Solutions

Premise Liability Trust & Estates SharePoint

RICO Wills Summation

Securities Venture Capital Support Calc

Social Security Zoning, Planning, Land Use TABS

Toxic Tort Other: Trial Director

Torts Accounting Software Westlaw

Workers' Compensation Great Plains Worldox

Other: Elite Graphic/PresentationElectronic Billing Adobe Creative Suite

Education Information Payroll/HR Adobe Pagemaker

High School Degree ADP Harvard Graphics

Two-year Associate Ceridian Microsoft PowerPoint

Four-year Bachelor Peoplesoft Microsoft Visio

Masters/PhD Quicken Misc. SkillsABA Approved Paralegal Certificate QuickBooks Dictaphone

Non-ABA Approved Paralegal Certificate Time Slips Notary Public

JD ABA Approved Time Matters Shorthand

JD Non-ABA Approved State Bar Languages:

LLM Program State: Date taken: ______________________________

Patent/Trademark BAR (USPTO) State: Date taken: Keyboarding WPM___________

Wish List We’d like to know what’s important in your job search. Tell us what factors drive you to success, what keeps you

up at night, or what wows you. It might be an ideal company culture, the opportunity to work for a specific industry

or organization, how far you'd travel for work, or how you plan to get there. We want to know it all!

Preferred Location(s)

DowntownNW Portland/PearlSW Portland N/NE Portland SE Portland

Beaverton/Aloha/Tigard Hillsboro/Forest Grove Lake Oswego/West Linn Tualatin/Sherwood/Wilsonville Gresham/East County Happy Valley/Sandy

Vancouver Newberg/McMinnville SalemOregon Coast

Contract Temporary Staffing Guidelines

Welcome to Boly:Welch! As your employer on assignment, our team has developed guidelines to ensure your success as a Contract Temporary employee. Your Boly:Welch Recruiter will be your key point of contact. Questions regarding your employment or assignment should be directed to us, while job function or work flow issues can be discussed with your work location supervisor. For example, we suggest that you limit personal calls and internet usage to designated breaks, but norms may differ by client.

Priority is given to candidates who email AVAILABLE@bolywelch.com each weekend with name and upcoming weekday availability. No news will be seen as a voluntary deactivation of your employment relationship.

While on Assignment, it’s important to stay in touch with your Boly:Welch Recruiter:

1. Your safety is critical. Exercise caution and good judgment, and follow all workplace safety practices or procedures.

• Notify us of any on-the-job injury to ensure prompt resolution and swift claims processing. • All injuries require drug and alcohol screening upon receipt of medical attention.

2. Contact Boly:Welch if requested to:

• Drive for the client while on assignment • Handle cash or valuables • Change your job duties substantially

3. Punctuality and regular attendance are essential to our mutual success.

• Please arrive 10-15 minutes early for your assignment. • If you are going to be absent, notify us at least two hours prior to your shift. • For late arrival, whenever possible, contact us with your estimated arrival time. • Schedule time off with us two weeks in advance. • “No Call. No Show” is grounds for disciplinary action or termination after one day. • Failure to report to work without calling in for two consecutive workdays is a voluntary termination. • Notify us with any commitments that will interrupt or limit the duration of your assignment.

4. Clothing and appearance should be professional and align with the client-specific dress code. 5. Client Equipment & Property

• Equipment, supplies, identification cards, badges, company keys, phones, computers, and client-supplied materials are for business purposes only, may not be taken or used for other purposes, and must be returned immediately upon assignment completion or termination. Failure to do so could be considered theft and may result in termination as a Boly:Welch employee.

Payroll & Paychecks

• Employees are paid weekly for all time worked on Contract Temporary assignment. • Complete and submit a timecard to our accounting team by 5 pm on the Monday following the

week you worked to help assure prompt receipt of your paycheck. • Workweeks are the seven-day period starting Monday at 12:01 am, ending Sunday at midnight. • Please include only one week per time card with the dates you worked, the company you worked for, and

the last four digits of your SSN. • Your Recruiter will let you know which of the following processes is available for your assignment:

o Email timecards@bolywelch.com — Ask your supervisor to sign off on your hours. o Submit via online timecard portal — Your supervisor will be notified to sign.

• We offer Direct Deposit for all of our employees. Complete and submit the form along with a voided check to enroll. • If you haven’t set up Direct Deposit, your paycheck will be available for pickup at our office by 10 am the Friday after you

submitted your time card. Please remember to bring I.D. with you when you pick up your check. • Paychecks will not be released to anyone other than the Boly:Welch employee without written authorization from you. • Contact our Payroll Department with additional questions!

Benefits: You’re eligible for health care benefits − medical, dental, and vision and FSA − the first of the month following 60 days on assignment. You must be working a minimum of 30-hours-per-week in order to qualify for eligibility. Flexible Spending Account: An FSA Section 125 Plan is offered to support medical expenses with pre-tax dollars. Oregon Sick Pay: Available after 90 days. You accrue one hour for every 30 hours worked to a maximum of 40 hours. Holidays: Employees receive a $50 bonus upon completion of 850 hours of service for the following holidays:

New Year’s Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Day

Vacation: Employees receive a $300 vacation bonus upon completion of 1,300 hours of service. 401K Employee Deferral Elections: Upon completion of eligibility requirements, you may elect to contribute a percentage of your compensation to the 401(k) plan each year; contributions are 100 percent vested. 401K Safe Harbor Non-elective Contribution: Boly:Welch will make a contribution equal to three percent of your compensation. You are immediately 100 percent vested in this contribution amount, and it will be made regardless of whether you contribute anything to the plan. Contributions will be made at a minimum annually. Eligibility for both Deferral Elections and Non-Elective Contributions requires that you:

• Be 21 years of age or older. • Complete 1,000 hours of service during the 12-month period beginning on your date of hire or

any plan year beginning after your date of hire. • Entry dates for the contribution are the first day of January and July.

Profit Sharing: Boly:Welch may make a discretionary profit sharing contribution. This contribution is always 100 percent vested. To be eligible for a profit sharing contribution, you must:

• Be 21 years of age or older. • Have 24 months of service. • Complete 1,000 hours of service for every 12-month period beginning on your date of hire or

any plan year beginning after your date of hire. • Entry dates for the contribution are the first day of January and July.

Employee Discounts

• Quarterly invitations to the Adidas and Columbia employee stores for a discount on market prices. • Discounted membership rates at Portland Metro 24 Hour Fitness locations. • Save 22% on monthly wireless service plans through AT&T.

Referral Bonus Program Referred candidates must have worked the guarantee period for a Direct-Hire or 100 hours on a Contract Temporary assignment. Please submit the tracking form within the first six months of the Direct-Hire placement or Contract Temporary assignment.

• Direct-Hire bonus is $100.00 after the candidate has worked the guarantee period and payment has been received from the client.

• Contract Temporary Assignment bonus is $100 after the referred candidate has worked 100 hours. • Use the Referral Bonus Form.

Commitment to Diversity As an equal opportunity employer committed to meeting the needs of a multigenerational and multicultural workforce, Boly:Welch recognizes that a diverse staff, reflective of our community, is an integral and welcome part of a successful and ethical business. We hire local talent at all levels regardless of race, color, religion, age, national origin, gender, gender identity, sexual orientation, or disability, and actively foster inclusion in all forms both within our company and across interactions with clients, candidates and partners.

As a business founded and owned by women, Boly:Welch collaborates with minority and women-owned business enterprises to help develop and nurture strong relationships across all stakeholders. We make connections that enrich our community by seeing possibilities in people.

Non-Discrimination and Harassment Policy It is the policy of Boly:Welch to help ensure equal employment opportunity and prohibit discrimination or harassment on the basis of race, color, religion, age, gender, gender identity, sexual orientation, national origin, citizenship, disability, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), veteran status, or any other characteristic protected by law. Discrimination, sexual harassment, and other types of unlawful harassment are illegal under federal, state, and local laws. We will not tolerate any discrimination or harassment, whether committed by management or non-supervisory employees, employees of temporary agencies, vendors, contractors, or guests. This policy prohibits all such harassing conduct whether done verbally or nonverbally, including through e-mail or other company electronic systems. Contact your Recruiter with any questions or concerns.

11/6/2019

New  Health   Insurance  Marketplace  Coverage  Options  and   Your   Health  Coverage

PART  A:  General   Information  

When  key  parts  of  the  health  care  law  took  effect  in  2014,  there  is  a  new  way  to  buy  health  insurance:  the  Health  Insurance  Marketplace.  To  assist  you  as  you  evaluate  options  for  you  and  your  family,  this  notice  provides  some  basic  information  about  the  new  Marketplace  and  employment-­‐based  health  coverage  offered  by  your  employer.  

What  is  the  Health  Insurance  Marketplace?  The  Marketplace  is  designed  to  help  you  find  health  insurance  that  meets  your  needs  and  fits  your  budget.  The  Marketplace  offers  "one-­‐stop  shopping"  to  find  and  compare  private  health  insurance  options.  You  may  also  be  eligible  for  a  new  kind  of  tax  credit  that  lowers  your  monthly  premium  right  away.    Open  enrollment  for  health  insurance  coverage  through  the  Marketplace  is  October  15  to  December  7  each  year.    Special  Enrollment  periods  exist  throughout  the  year  if  you  experience  a  loss  of  coverage.  

Can  I  Save  Money  on  my  Health  Insurance  Premiums  in  the  Marketplace?  You  may  qualify  to  save  money  and  lower  your  monthly  premium,  but  only  if  your  employer  does  not  offer  coverage,  or  offers  coverage  that  doesn't  meet  certain  standards.  The  savings  on  your  premium  that  you're  eligible  for  depends  on  your  household  income.  

Does  Employer  Health  Coverage  Affect  Eligibility  for  Premium  Savings  through  the  Marketplace?  Yes.  If  you  have  an  offer  of  health  coverage  from  your  employer  that  meets  certain  standards,  you  will  not  be  eligible  for  a  tax  credit  through  the  Marketplace  and  may  wish  to  enroll  in  your  employer's  health  plan.  However,  you  may  be  eligible  for  a  tax  credit  that  lowers  your  monthly  premium,  or  a  reduction  in  certain  cost-­‐sharing  if  your  employer  does  not  offer  coverage  to  you  at  all  or  does  not  offer  coverage  that  meets  certain  standards.  If  the  cost  of  a  plan  from  your  employer  that  would  cover  you  (and  not  any  other  members  of  your  family)  is  more  than  9.5%  of  your  household  income  for  the  year,  or  if  the  coverage  your  employer  provides  does  not  meet  the  "minimum  value"  standard  set  by  the  Affordable  Care  Act,  you  may  be  eligible  for  a  tax  credit.1  

Note:  If  you  purchase  a  health  plan  through  the  Marketplace  instead  of  accepting  health  coverage  offered  by  your  employer,  then  you  may  lose  the  employer  contribution  (if  any)  to  the  employer-­‐offered  coverage.  Also,  this  employer  contribution  -­‐as  well  as  your  employee  contribution  to  employer-­‐offered  coverage-­‐  is  often  excluded  from  income  for  Federal  and  State  income  tax  purposes.  Your  payments  for  coverage  through  the  Marketplace  are  made  on  an  after-­‐tax  basis.  

How  Can  I  Get  More  Information?  For  more  information  about  your  coverage  offered  by  your  employer,  please  check  your  summary  plan  description  or  contact  your  Plan  Administrator  at:  Boly:Welch  920  SW  Sixth  Avenue,  Suite  100,  Portland,  Or  97204  

The  Marketplace  can  help  you  evaluate  your  coverage  options,  including  your  eligibility  for  coverage  through  the  Marketplace  and  its  cost.  Please  visit  HealthCare.gov  for  more  information,  including  an  online  application  for  health  insurance  coverage  and  contact  information  for  a  Health  Insurance  Marketplace  in  your  area.  

1  An   employer-­‐sponsored  health  plan  meets  the  "minimum  value  standard"   if   the  plan's  share  of   the  total  allowed  benefit  costs  covered  by   the  plan  is   noless  than  60  percent  of   such  costs.  

PART  B:  Information  About  Health  Coverage  Offered  by  Your  Employer    This  section  contains  information  about  any  health  coverage  offered  by  your  employer.  If  you  decide  to  complete  an  application  for  coverage  in  the  Marketplace,  you  will  be  asked  to  provide  this  information.  This  information  is  numbered  to  correspond  to  the  Marketplace  application.  

Employer  Name:  Boly:Welch      Employer  EIN:  93-­‐1015755  Employer  Address:  920  SW  Sixth  Avenue,  Suite  100,  Portland,  Or  97204  Employer  Phone:  503.242.1300    Email  address:  k.fogg@bolywelch.com  Who  can  we  contact  about  employee  health  coverage  at  this  job?  Karen  Fogg  

Here  is  some  basic  information  about  health  coverage  offered  by  this  employer:  

• As  your  employer,  we  offer  a  health  plan  to:

√ Some  employees.  Eligible  employees  are:  employees  working  30  hours  per  week

! All  Employees  

• With  respect  to  dependents:

√ We  do  offer  coverage.  Eligible  dependents  are:    Dependent  generally  refers  to  the  employee’s  spouse  andchildren  and  includes  domestic  partners.

! We  do  not  offer  coverage  

√ If  checked,  this  coverage  meets  the  minimum  value  standard,  and  the  cost  of  this  coverage  to  you  is  intented  to  beaffordable,  based  on  the  employee  wages.

**   Even  if  your  employer  intends  your  coverage  to  be  affordable,  you  may  still  be  eligible  for  a  premium  discount  through  the  Marketplace.  The  Marketplace  will  use  your  household  income,  along  with  other  factors,  to  determine  whether  you  may  be  eligible  for  a  premium  discount.  If,  for  example,  your  wages  vary  from  week  to  week  (perhaps  you  are  an  hourly  employee  or  you  work  on  a  commission  basis),  if  you  are  newly  employed  mid-­‐year,  or  if  you  have  other  income  losses,  you  may  still  qualify  for  a  premium  discount.  

If  you  decide  to  shop  for  coverage  in  the  Marketplace,  HealthCare.gov  will  guide  you  through  the  process.  Here's  the  employer  information  you'll  enter  when  you  visit  HealthCare.gov  to  find  out  if  you  can  get  a  tax  credit  to  lower  your  monthly  premiums.  

I, __________________________________________________ (full name), have received and acknowledge the New Health Insurance Marketplace Coverage Options and Your Health Coverage document. In signing, I recognize that I am fully aware of the contents of said document and understand the information set forth.

Signature: ______________________________ Date: __________________