Employee Info – 2019

Employee Information Form

Hey Everyone! Thank you for taking the time to fill out this form. We know your time is precious and limited, so we have done our best to consolidate as much as we can into this single form to limit the time required of you. When completed, the information you provide will be transferred to APS where it will then be centrally available for us to make informed decisions around recognition, professional development and overall employee engagement. Please complete all questions (with the exception of the EEOC Data Collection which is voluntary). If a question does not apply to you or you do not have that information available (ie. you have never completed a Strengths Finders assessment), please enter "N/A" as a response. Please note that if you choose to provide information on the last page of this form (titled "EEOC Data Collection - 2019), that information will be used ONLY to complete forms required for reporting to the federal government and will be kept separate from all other personnel records only accessed by the Human Resources Department. With that, let's get started!

Step 1 of 4

Basic Information
Name*
First Last
Preferred Name
First
Hometown*
When asked "Where are you from", how do you respond? It may be where you were born and/or raised, or it may simply be where the majority of your extended family still resides. This information could be used by leadership to quickly identify staff who may have family impacted by emergencies outside of Waco (ie. flood, earthquake, etc.).
Date of Birth*
MM slash DD slash YYYY
Marital Status*
Wedding Anniversary
MM slash DD slash YYYY
Spouse's Information
Spouse's Name
Spouse's Phone
Spouse's Email
Spouse's Hometown
When asked "Where are you from", how does your spouse respond? It may be where they were born and/or raised, or it may simply be where the majority of their extended family still resides. This information could be used by leadership to quickly identify staff who may have family impacted by emergencies outside of Waco (ie. flood, earthquake, etc.).

All About Me...
T-Shirt Size
Known Food Allergies
Food Preferences (vegan, gluten-free, etc.)
Passport Number
Passport Expiration Date
MM slash DD slash YYYY
Known Languages (Fluent)
Known Languages (Conversational)
Enneagram (w/wing)
Myers Briggs
Predictive Index
Strength's Finders (Top 5)
Strength #1 Strength #2 Strength #3 Strength #4 Strength #5
Spiritual Gifts (Top 3)
Spiritual Gift #1 Spiritual Gift #2 Spiritual Gift #3

These Are a Few of My Favorite Things...
Color
Flower
Fruit
Salty Snack
Candy or Candy Bar
Soft Drink
Starbucks Drink
Take Out Restaurant
Sit Down Restaurant
Breakfast Food
Professional Sports Team
College
Hobbies
Way I feel most valued/loved
If you found a giftcard for the below amounts, where would you want it to be to?
$5 $25 $50 $100

EEOC Data Collection - 2019
The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to invite applicants to self-identify gender and race and complete an EEO-1 report each year. Completion of this data is voluntary and will not affect your opportunity for employment, or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department.
Job Title
Gender
Are you Hispanic or Latino?
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
Race/Ethnicity (Please check one of the descriptions below corresponding to the ethnic group with which you identify.)
If you have identified yourself as Hispanic or Latino, you are not required to select an additional category.
Job Category (select the option that most aligns with your position...best guess if not certain)

Employee Information Form

Step 1 of 4

Basic Information

Spouse's Information

All About Me...

These Are a Few of My Favorite Things...

EEOC Data Collection - 2019