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Provisional, Full-time, or Part-time Employee Information Sheet

  1. Hyde Park Logo and Address for Human Resources

  2. Provisional, Full-time, or Part-time Employee Information Sheet

  3. EMPLOYEE COMPLETES:

  4. Sex*

  5. *If under 18 years old, are working papers on file?

  6. If declined, is employee eligible for a buyout?

  7. FOR PERSONNEL USE:

  8. Employment Eligibility Verification on File

  9. Affidavit of Optional Retirement Membership on File

  10. Resignation on File

  11. 3/99

  12. Revised 2/08

  13. Leave This Blank: