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UCSB Mechanical Engineering Employee Information Form
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* Indicates required question
Email
*
Your email
Legal Name (Last, First, Middle)
*
Your answer
Lived Name
Your answer
Date of Birth (MM/DD/YYYY)
*
Your answer
Gender
*
Male
Female
Other:
What are your preferred pronouns?
she/her
he/him
they/them
I do not want to share any pronouns
Other
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Street Address
*
Your answer
City, State
*
Your answer
ZIP/Postal Code
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number
Your answer
Home Institution
Your answer
Email Address
*
Your answer
Are you a U.S. Citizen?
*
Yes
No
If no, please indicate country of citizenship, visa status and expiration.
Your answer
Social security number
*
Your answer
List dates of any previous or current UC employment.
*
Your answer
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