Preferred name (IF DIFFERENT THAN FIRST NAME ABOVE) OPTIONAL
For example, employee goes by a middle name or a shortened version of his legal name, Like Chris instead of Christopher
Your answer
Date of birth *
Please use this format MM-DD-YYYY
Your answer
Gender *
Home Phone *
please use this format 580-555-5555 if NONE, enter NONE
Your answer
Cell Phone # *
Enter NONE if employee has no cell phone.
Your answer
Which contact phone number would you like to use to receive All Call broadcasts from Clinton Public Schools? This includes weather related outages as well as general informational notices. *
Physical address *
number, street (include city and zip if not Clinton)
Your answer
Mailing address if same, enter "same" *
number, street (include city and zip if not Clinton)
Your answer
Which school have you been assigned to this school year? *
Required
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