Employee Data Form
Please fill in the following information needed to setup your accounts, process payroll and DOE reports.
First Name: *
Your answer
Middle Name: *
Your answer
Last Name: *
Your answer
County of Residence *
Your answer
Social Security Number: *
Your answer
Date of birth: *
Your answer
School Building: *
Your primary place of work
Position: *
Job description
If job description is other please give description:
Your answer
Supervisor:
Your answer
Password for School accounts
8 characters with upper case, lower case and a number or symbol * Do not use any current personal password* and you can give this to us in person.
Your answer
Cell phone: *
Your cell phone or type none
Your answer
Home phone: *
Your home phone or type none
Your answer
Hire date:
Your answer
Mailing address: *
Your answer
Home address:
Your 911 home address or type same
Your answer
Personal email address: *
Your personal email or type none
Your answer
School Messenger preference: *
Message delivery for school delays, cancellation or reminders
Required
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