Employee Personal Profile
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1
2Employee Personal Profile
Please indicate whether you are a new employee or a current employee
☐
New Employees: Use this form to provide new or changed information for your HR/Payroll record. Complete the form electronically,
print and sign it, and send it to the Office of Human Resources.
☐
Current Employees: Use this form to change name and identity information.
If you are changing your name, you must present a
Legal Name Change Document and Social Security Card in person along with this form.
Employee Information
Date of
Full Name:
Birth:
First
Middle
Last
Month Day Year
If changing,
Preferred
NEW Name:
Name: __________________
First
Middle
Last
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone:
Email:
Gender:
Marital Status: ☐ Single ☐ Married ☐Divorced ☐ Separated ☐ Other: _____________________________________________
Ethnicity/Race (check all that apply): Are You Hispanic/Latino? ☐ Yes ☐ No
☐ American Indian/Alaska Native ☐ Asian ☐ Black/African‐American ☐ Native Hawaiian/Pacific Islander ☐ White
YES
NO
YES
NO
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Are you currently working for a state agency
that requires mandatory participation to the
Military Reserve
YES
NO
Teachers’ Retirement System of Alabama?
Status
Education
Highest Education Level:
Highest Degree and Major:
Date Acquired:
Institution Name:
Emergency Contacts
Name:
Relationship:
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone:
Cell Phone: _________________________ _ ______________
Name:
Relationship:
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone:
Cell Phone: _________________________________________
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Parent category: Business