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Faculty-Staff-Housestaff Info Sheet, updated 2-23-15 jtb

Faculty-Staff-Housestaff Info Sheet, updated 2-23-15 jtb 2025

Faculty-Staff-Housestaff Info Sheet, updated 2-23-15 jtb Preview on Page 1

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The document is an information sheet for faculty, staff, and housestaff at Legacy UMDNJ, collecting personal details such as name, contact information, marital status, citizenship, military experience, ethnicity, race, emergency contact information, and language proficiency. It also outlines conditions of employment regarding supervisory roles with relatives and shift assignments.

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Click ‘Get Form’ to open the Faculty-Staff-Housestaff Info Sheet in the editor.
Begin by entering your personal information in the designated fields. Fill in your name, date of birth, and address accurately.
Provide your contact details including home phone, cell/alt phone, and email address. Ensure these are current for effective communication.
Indicate your marital status and U.S. citizenship status by selecting the appropriate options provided.
Complete the military experience section by checking one of the options that best describes your background.
In the ethnicity/race section, select your ethnicity and race as applicable. You can choose multiple races if necessary.
Fill out emergency contact information thoroughly, including their relationship to you and their contact details.
Lastly, review the conditions of employment section carefully. Sign and date it to confirm your understanding and acceptance.

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