New Employee - Camas School District



Camas School District

Employee Change of Information

The Camas School District’s payroll, human resources and student data systems are now connected by one integrated computer program. Because this database identifies and connects family information, changes to employee information can now have an affect on demographic data of employees’ children and current/former spouses. Please make any necessary changes to your information below and indicate if these changes affect any of your household members who are currently in the District system in Section A. Please complete Section B for those household members (employees and/or students) this change does not affect.

Please only complete the information that has changed:

Legal Last Name:       Legal First Name:       Legal Middle Name:      

Home Phone:       Cell Phone:      

Automated Call Preference: Home Cell

Street Address:       City:       State:       Zip:      

Mailing Address:       City:       State:       Zip:      

E-mail Address:      

If this is a name change, please print your former last name:      

SECTION A

|Please print legal name (EXACTLY as printed on Social Security Card) of all Camas School District employees/students affected by this change. |

|Last Legal Name |First Legal Name |Middle Name |Cell Number |School or Department |Job Title/Grade |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

SECTION B

|Please print legal name (EXACTLY as printed on Social Security Card) of all Camas School District employees/students NOT affected by this change. |

|Last Legal Name |First Legal Name |Middle Name |Cell Number |School or Department |Job Title/Grade |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

Staff Signature Date:      

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