Faculty Data Sheet
Full Name
SSN
Home Address
City State Zip Code
Country
Home Phone
Fax Number
Place of Employment
Address
City State Zip Code
Country
Work Phone
Fax Number
Current Job
Title
Direct Computer Contact Address
FOR MAIN CAMPUS USE ONLY:
The following information is for statistical purposes only:
Sex:
F
M
Marital Status
S
M
Birth Date
Name of Spouse
Racial/Ethnic Background
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaska native
Black or African American
Native Hawaiian or other Pacific Islander
CARS Computer ID Number
Hire Date
Position at Webster University
FULL TIME/ PART TIME
Campus Location and Number
Constituency Department 2nd Department
Account Number
1. What is your ethnicity?: 2. If not Hispanic or Latino, what is your race?:
Asian
Caucasian
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