Rivercrest School District Employee Information
Note: It is your responsibility to notify Central Office of a change of address. The electronic change of address form may be found on the school web site - www.rivercrestcolts.org.
First Name *
Your answer
Last Name *
Your answer
SSN (optional)
Your answer
Mailing Address
P.O. Box, Street, Apartment *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Physical Address
Street, Apartment *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Contact Information
Home Phone # (xxx-xxx-xxxx) *
Your answer
Cell Phone # (xxx-xxx-xxxx) *
Your answer
Office Phone # - if applicable (xxx-xxx-xxxx)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # (xxx-xxx-xxxx) *
Your answer
District Email Address *
Your answer
Alternative Email Address (optional)
Your answer
Position/Campus
Position Held *
Your answer
Campus Assigned *
If assigned to multiple campuses, indicate the primary location. If a district-level employee, indicate where office is located.)
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