Employee Information Sheet

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6/19 EXAMPLES

Text in this Example:

Name:
Address:
Relationship:
Phone (day):
Phone (night):
Employee Information Card
Please fill out this employee information card. It will provide much needed data for our Human Resources Dept.
In the Event of an Emergency Please Notify:
Personal Information:
Voluntary Personal Information:
Last Name
First Name
M.I.
Social Sec. #:
Current Address
Street
City
State
Zip
Phone
Previous Address
How long at current address?
How long at previous address?
Date of Birth:
Sex:
Male
Female
Have you ever been employed here before?
If yes, please tell us when
to
If anyone you know recommended you to us, please tell us who
Do you have any special certifications or clearances? (security clearance, bonded, etc.)
Marital Status
Single
Married
Name of Spouse:
Number of dependants:
Name
Sex
Date of Birth