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Personnel Data

Please provide the following requested information that will be used to complete your personnel data in the HR and Payroll systems. If you have any questions feel free to contact us at [emailprotected] or 517-629-0205.

Legal Full Name(Required)

Prefix First Middle Last Suffix

Chosen Name (If different from legal name)

First Last

Contact Information

Will You Be Relocating On Or Before Your First Day Of Employment?(Required)

Yes

TBD

Do You Know What Your Address Will Be?(Required)

Yes

TBD

Briefly Share Your Relocation Plans(Required)

Residential Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Is Your Mailing Address The Same As Your Residential Address?(Required)

Yes

Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Address At Time of First Day of Employment(Required)

Street Address Address Line 2 City State ZIP Code

Personal Phone Number(Required)

Personal Email Address(Required)

Demographic

Marital Status(Required)

Single

Married

Widowed

Divorced

Legal Sex(Required)

Male

Female

Not Available

Gender Designation

Pronouns

Are you a US Citizen?(Required)

Yes

Citizenship Status(Required)

Non Citizen

Non Resident Alien

Resident Alien

Emergency Contact

Emergency Contact(Required)

First Last

Emergency Contact Relationship(Required)

Emergency Contact Phone Number(Required)

Would you like to add another contact?(Required)

Yes

Emergency Contact(Required)

First Last

Emergency Contact Relationship(Required)

Emergency Contact Phone Number(Required)

Integrated Postsecondary Education Data System (IPEDS) Reporting Data

Are you Hispanic or Latino?

Yes

Race(s) - Select one or more

White

Black

Asian

Native Hawaiian or Other Pacific Islander

American Indian or Alaskan Native

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Personnel Data

Personnel Data

Contact Information

Demographic

Emergency Contact

Integrated Postsecondary Education Data System (IPEDS) Reporting Data