Bio-Demographic Form

The George Washington University is required by law to maintain records of your employment.  The information requested below will become part of your employee record and will be confidentially maintained.  You are asked to furnish all the information requested below.  If any item is not applicable to you, please write N/A in the appropriate space.

Information below must match legal documentation (i.e. I-9 or Social Security Card)
DEMOGRAPHIC DATA
Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, and our own college/university communities, to describe the ethnic/racial backgrounds of its students and employees. In order to respond to these requests, we ask you to answer question 1 and also question 2 as applicable:
check all that apply
CAMPUS ADDRESS / EMERGENCY CONTACT INFORMATION
Campus (Primary Office Address, if known):
Home Address:
Emergency Contact Information:
Please report any changes to the information listed above to Human Resources.
CERTIFICATION
Certification - I certify that the information submitted in this form is correct and complete to the best of my knowledge and belief. BY SIGNING ABOVE, I certify that I have read and understand these statements. (please type in your full name)