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2026-2027 Employee Information
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Last Name
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First Name
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Your answer
Maiden Name
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Date of Birth
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MM
/
DD
/
YYYY
Phone Number
*
Your answer
Building/School
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District Office
ECC
Mark Twain Elementary
Oakwood Elementary
Stowell Elementary
Veterans Elementary
Hannibal Middle School
Hannibal Career and Technical Center
Hannibal High School
Food Service
Technology
Maintenance
Transportation
Annex
Position
*
Administrator
Bus Driver
Bus Safety Coach
Clerical
Counselor
Custodian
Dispatcher
Food Service
Library Clerk
Maintenance
Mechanic
Nurse
Paraprofessional
Parent Educator
Service Tech
Teacher
Therapist
Total Years of Service at HPS
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1
2
3
4
5
6
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10
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Street Address
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City
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State
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Zip Code
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Primary Physician
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Primary Physician Phone Number
*
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Emergency Contact Person #1
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Your answer
Emergency Contact Phone Number #1
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Your answer
Emergency Contact Person #2
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Emergency Contact Phone Number #2
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Allergies
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Additional Medical Needs
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Shirt Size
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M
L
XL
XXL
3X
4X
Today's Date
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YYYY
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