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Employee Information Update

EVERETT PUBLIC SCHOOLS
Human Resources Department

Submit this form to update your demographic and emergency contact information.

Please complete the form below. Required fields marked with an asterisk *

Employee ID Number*

(Listed in Aspen in the "Local Identifier" field)

Answer required for "Employee ID Number"

School/Location*

Answer required for "School/Location"

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Known As/Preferred Name/Nickname

Answer required for "Known As/Preferred Name/Nickname"

Personal Email Address*

Needed to prepare for Employee Self Service system use.

Answer required for "Personal Email Address"

Work Email Address*

Answer required for "Work Email Address"

Cell Phone Number*

Number Required

Home Phone Number

Number Required

Address

Address Line 1*

Answer required for "Address Line 1"

Address Line 2

Answer required for "Address Line 2"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Mailing Address (only if different from residential address)

Answer required for "Mailing Address (only if different from residential address)"

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Phone Number*

Number Required

Emergency Contact Secondary Phone Number

Answer required for "Emergency Contact Secondary Phone Number"

Emergency Contact Email Address

Answer required for "Emergency Contact Email Address"

Emergency Contact Relationship*

Answer required for "Emergency Contact Relationship"

FOR INTERNAL USE ONLY

EPS Human Resources Department

Answer required for "FOR INTERNAL USE ONLY"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"