Employee Information Form Page 2

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Employee Information Form
Every new hire must complete this document in its entirety
A
M
S
F
V
C
ARITAL
TATUS
ISA
ODE
D
Divorced
US
US citizen
M
Married
A1
A visa-diplomat/counsel
S
Single
CN
Canadian citizen
C
Common-Law
E1
E-visa trade
W
Widowed
F1
F-visa student
X
Separated
G1
G-visa-international organization rep.
H
Head of Household
H1
Exceptional services
H2
Temporary services
B
E
C
IM
Immigrant visa (not refugee)
THNIC
ODE
01
White
II
Media
02
Black or African American
J1
Federal program scholar
03
Hispanic or Latino
K1
Fiancée/Fiancé
04
Asian
L1
Intracompany transferee
05
American Indian or Alaskan Native
OT
Other, non-immigrant visa
06
Native Hawaiian or Other Pacific Islander
RF
Refugee status
C
V
S
G
E
L
ETERAN
TATUS
DUCATION
EVEL
01
Active reserve
<HS
Grade/HS work in years
02
Inactive reserve
HS
High school/GED
03
Newly separated veteran
TS
Trade school certificate
04
No military service
SC
Some college
05
Not a veteran
AA
Associate degree
06
Not a Vietnam era veteran
BL
Bachelor’s degree
07
Other protected veteran
TC
Teaching certificate
08
Post-Vietnam era veteran
MPW
Master program work
09
Pre-Vietnam era veteran
MD
Master’s degree
10
Retired military
DPW
Doctoral program work
11
Veteran/VA ineligible
PHD
PhD. Doctor of Philosophy
12
Veteran of Vietnam era
DS
SCD-Science
13
Vietnam and other protected veteran
EBA
DBA-Business Administration
14
Vietnam era veteran
EDD
EDD-Education
LLB
LLB Laws jurisprudence
D
M
S
DLL
Doctor Laws & Letters
ILITARY
TATUS
NM
Not in military reserve
JD
Juris doctorate
AR
Active reserve
IC
Inactive reserve-subject to call-up
H
E
C
MERGENCY
ONTACT
IR
Inactive reserve
AU
Aunt/Uncle
NG
National guard
BS
Brother/Sister
DS
Daughter/Son
E
D
S
FM
Father/Mother
ISABILITY
TATUS
NH
No handicap/disability
GG
Grandfather/Grandmother
01
Non-ambulatory (wheelchair)
GC
Grandchild
02
Semi-ambulatory
MF
Mother-in-law/Father-in-law
03
Coordination
NN
Niece/Nephew
04
Sight
OT
Other
05
Hearing
SP
Spouse
06
Speech
07
Learning
08
Mental/Psychological

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