FPC Employee Information Form Name(Required) First Last Have you attended FPC or previously worked at FPC under a different name?(Required) Yes No If yes, please list previous name:(Required) First Last Social Security No(Required) Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Male Female Address(Required) Mailing Address City State / Province / Region ZIP / Postal Code Cell Phone(Required)Personal Email(Required) Ethnicity(Required) American Indian Asian Black/African Hispanic/Latino Native Hawaiian Non-Resident Unknown White Veteran(Required) Yes No Prefer not to answer Status(Required) Active Reserve Branch(Required) Emergency ContactIn case of an Emergency, notify:Name(Required) First Last Address Street Address City State / Province / Region ZIP / Postal Code Cell Phone(Required)Home PhoneRelationship(Required) Driver's License(Required)All employees are required to submit a copy of their Driver's License (or official photo ID). Max. file size: 1 GB.Social Security Card(Required)All employees are required to submit a copy of their Social Security Card (or other acceptable second form of identification). President's Office.Max. file size: 1 GB.I-9 Form(Required)All employees are required to submit a copy of their I-9.Max. file size: 1 GB.W-4 Form(Required)All employees are required to submit a copy of their W-4.Max. file size: 1 GB.Texas Public Information Act (PIA)The name, sex, ethnicity, salary, title, and dates of employment of each employee is considered "Core Public Information" and will be released upon receipt of a public information request.Employees can choose whether to allow public access to the following information.Grant Public Access to: Home Address(Required) Yes No Grant Public Access to: Home Telephone Number(Required) Yes No Grant Public Access to: Emergency Contact Information(Required) Yes No Grant Public Access to: Family Member Information(Required) Yes No