New Hire Demographic Form - Stephen C. O'Connell Center
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1
2New Hire Demographic Form
The hiring department to complete form upon applicant’s acceptance of job offer
Note: This form must not be emailed or scanned
if a Social Security Number is included
Personal Information
Email address
(Important! This will be used by GatorStart to contact employee and should be a personal email address)
UFID
Hire Date
/
/
(Important! Please ask employee if they have a UFID)
mm
dd
yr
Name
First
Middle
Last
(Important! Name must be as it appears on the social security card)
Date of Birth
/
/
Social Security #
/
/
mm
dd
yr
Male
Female
Gender
Marital Status
Single
Married
Citizenship Status
Citizen
Non-Citizen National of US
Non-Resident Alien
Perm Resident
Highest Education Level
2-Yr College
Bachelor
Doctorate
High School Grad
Less Than High School
Tech School
MD,DDS,JD
Other
Some College
Master
Home Address & Phone
(permanent physical address: may/may not be a US address)
Address Line 1
Address Line 2
City
County
State
Zip/Post Code
Country
Phone
Vers. 12/16 R&S
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Parent category: Business