EMPLOYEE
INFORMATION
FORM
The HR
Department
is
currently
updating
all
employee
information.
This
is
necessary
for
many
reasons,
some
of
which
include
being
able
to
mail
information
to
employee’s
homes,
emergency
contact information,
and
completing
the
HCC
Catalog.
Please
assist
us
in
gathering
this
information
by
completing
the
form.
NAME:
EMPLOYEE
INFORMATION
ADDRESS:
PHONE
NUMBERS:
Home:
Cell:
Office
Extension:
SPOUSE/DEPENDENT
INFORMATION
Spouse
Name:
Spouse
Address:
Work#:
Cell#:
Spouse
Home Phone
#:
Dependent
Name
Dependent
Address:
Work
#:
j
Cell
#:
Dependent
Home
Phone
#:
Dependent
Name:
Dependent
Address:
Dependent
Home
Phone
#:
Work#:
j
Cell#:
Other
Dependent
Information:
EMERGENCY
CONTACT
INFORMATION:
Name:
Relationship•
Address:
Phone
Number
1:
Phone
Number
2:
COLLEGE
AND
DEGREE
INFORMATION:
Please
list
each
degree
received
and
every
school
attended.
College
Name:
Degree:
College
Name:
Degree:
College
Name:
Degree:
College
Name:
Degree:
X
:/Employee
Information
Form/Employee
Information
Form
12.6.12
Updated:
12.6.12