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Master Faculty Input Form
Action   Assigned PID Number:
Add
Change
Delete
 
Name:
Address:
City, State, Zip:
Home Phone #: Business Phone #:
Race: Gender: Date of Birth:
 
Full/Part Time: Instructional Area:
Academic Dean:
Initial Quarter: Initial Campus/Building Assign.
Contact Link (assigned by Dean office):
Contact Link Phone Number:
Date of completed I-9: I-9 Expiration date:
Pay Advice or Check: Direct Deposit Home Building
 
Before submitting, do you have a copy of:
Drivers License
Social Security Card or Birth Certificate
Passport
Does the employee have any relative(s) or member(s) of his/hers household in our employ?
YES   NO 
If yes, please list the person's name(s) and relationship. If no, please enter the word 'none'.

**please foward all documentation (I-9, ETC.) to: Zenee Woodard, foc #32
 
Page author:
Sally Swanger
sswanger@mccneb.edu
 
 

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