Employee Information Form

Personal Information

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* 1. Name:

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* 2. Personal email:

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* 3. Personal phone:

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* 4. Address:

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* 5. Date of birth:

Date / Time

Date

Employment Information

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* 6. Position:

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* 7. Department:

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* 8. Manager:

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* 9. Work phone:

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* 10. Work email:

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* 11. Date hired:

Date / Time

Date

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* 12. Work status:

Full-time

Part-time

Emergency Contact

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* 13. Name:

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* 14. Relationship:

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* 15. Email:

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* 16. Cell phone number:

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* 17. Work phone number:

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* 18. Address: