Employee Information Form

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Use this form to provide ESO with required information for employment in any role including volunteer. This is essentially your application! Information here is private and secure.

Note: we will not ask your SSN via this form. Instead we will ask you to submit your SSN / EIN/ TIN on our hiring documents.

Email *

First Name *

Middle Initial/ Name

Last Name *

Enter your name as you wish to be addressed if different from your full legal name.

Mailing Address Line 1 *

Mailing Address Line 2

Mailing Address City *

State *

Mailing Address Zip Code *

May include your 5 digit zip code or Zip + 4 code.

Cell Phone Number *

We utilize text messages for communications in addition to email and chat. Enter your cell phone number here.

Primary Phone Number *

Include the phone number we can reach you on.

Drivers License Number *

Drivers License State *

Your Birthday *

YYYY

What is your ethnicity? *

Based on EEOC EEO-1

Anglo/ White (not Hispanic or Latino)

Asia

Black or African American

Hispanic or Latino

Native American or Alaska Native

Native Hawaiian or Pacific Islander

I do not wish to disclose

How do you describe yourself? *

Male

Female

Trans Male

Trans Female

Genderqueer / Gender Non-Conforming

Prefer not to say

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