Employee Info

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MacroSys Employee Information Sheet

PERSONAL
NAME ______________________________________________________________________________
Last First Middle

SSN ____________________ EMPLOYEE No. ___________ BIRTH DATE ____________________

ADDRESS __________________________________________________________________________
Street (Apartment)

__________________________________________________________________________
City State Zip

HOME PHONE No. (____)___________________ OFFICE PHONE No. (____)__________________

CELL PHONE No. (____)___________________ PERSONAL EMAIL


___________________________

ARE YOU A MEMBER OF A MILITARY RESERVE? ( ) yes ( ) no IF SO, NOTE YOUR TRAINING

THE FOLLOWING QUESTIONS ARE OPTIONAL:

MARITAL STATUS: ( ) Single ( ) Married ( ) Separated ( ) Divorced ( ) Widowed

DATE OF MARRIAGE (if applicable) _____________ SPOUSE’S NAME _______________________

No. OF DEPENDENTS ________________________

EMERGENCY CONTACT In the case of an emergency, I want the following individuals notified:
Name ___________________________________ Relationship ______________________________

Home Phone No. (____)_____________________ Office Phone No. (____)_____________________

Address _____________________________________________________________________________
Street City State Zip

Name ___________________________________ Relationship ______________________________

Home Phone No. (____)_____________________ Office Phone No. (____)_____________________

Address _____________________________________________________________________________
Street City State Zip

Signature ________________________________________________ Date


_____________________

EMPLOYMENT (To be completed by human resources office)


Hire Date __________________ Job Title ____________________ Supervisor _______________

Contract __________________ Department __________________ Office Location ____________

Classification: ( ) Exempt ( ) Nonexempt Employment Status: ( ) Full-Time ( ) Part-Time


Initial Salary ___ / Hour / Year

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