Fill - Free fillable Form 2013604070: IDFORM: Bring the completed form and (Hudson County Community College) PDF form

HumanResourcesDepartment

70SipAvenue

3rdFloor

JerseyCity,NJ07306

201‐360‐4070

hr@hccc.edu

IDFORM: Bring the completed form and a Photo-ID to Safety & Security (81 Sip Avenue)

NewHire

LASTNAME:_________________________FIRSTNAME:______________________________

DEPARTMENT:____________________________STARTINGDATE (if applicable):____________

TITLE:______________________________________________________________________

SUPERVISOR: _______________________________________________________________

I understand that during my employment with Hudson County Community College I may have access to confidential student

information.IunderstandthatstudentprivacyrightsandrecordsareprotectedbytheFamilyEducationRightsandPrivacyAct

(FERPA).Disclosure of student information to unauthorized parties violates FERPA and college policy.I may not attempt to

accessstudentinformationunlessIhavelegitimateeducationalinterest.Imayaccessonlytheinformationneededtocomplete

myassignedorauthorizedtake.Iwillnotreleaseanystudentinformationunlessauthorizedtodoso.

Ialsounderstandthatthecollegemaymonitormyuseofthestudentinformationsystem.

EMPLOYEESIGNATURE:__________________________________________________________

HUMANRESOURCESUSEONLY:

H.R.Paperwork (if applicable):

___________________________________________________

 Resume

 Officialtranscript

 Socialsecuritycard(forpayroll)

 Properidentification

EMPLOYEEIDNUMBER:_____________________________ DATE:_______________

HUMANRESOURCESSIGNATURE: _____________________________________________

Rehire

Rehire

/Card Replacement

evised Sept. 2020)

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