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 25% Basic InformationName* 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* Date Format: MM slash DD slash YYYY Marital Status*Select a StatusSingleMarriedDivorcedWidowedWedding Anniversary Date Format: MM slash DD slash YYYY Spouse's InformationSpouse's NameSpouse's PhoneSpouse's Email Spouse's HometownWhen 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 SizeSelect a SizeExtra SmallSmallMediumLargeExtra LargeXX LargeXXX LargeKnown Food Allergies Food Preferences (vegan, gluten-free, etc.) Passport NumberPassport Expiration Date Date Format: MM slash DD slash YYYY Known Languages (Fluent) Known Languages (Conversational) Enneagram (w/wing)Select your answerN/A1 (Reformer)1 (Reformer), Wing 2 (Helper)1 (Reformer), Wing 9 (Peacemaker)2 (Helper)2 (Helper), Wing 1 (Reformer)2 (Helper), Wing 3 (Achiever)3 (Achiever)3 (Achiever), Wing 2 (Helper)3 (Achiever), Wing 4 (Individualist)4 (Individualist)4 (Individualist), Wing 3 (Achiever)4 (Individualist), Wing 5 (Investigator)5 (Investigator)5 (Investigator), Wing 4 (Individualist)5 (Investigator), Wing 6 (Loyalist)6 (Loyalist)6 (Loyalist), Wing 5 (Investigator)6 (Loyalist), Wing 7 (Enthusiast)7 (Enthusiast)7 (Enthusiast), Wing 6 (Loyalist)7 (Enthusiast), Wing 8 (Challenger)8 (Challenger)8 (Challenger), Wing 7 (Enthusiast)8 (Challenger), Wing 9 (Peacemaker)9 (Peacemaker)9 (Peacemaker), Wing 8 (Challenger)9 (Peacemaker), Wing 1 (Reformer)Myers BriggsSelect your answerN/AENFJENFPENTJENTPESFJESFPESTJESTPINFJINFPINTJINTPISFJISFPISTJISTPPredictive IndexSelect your answerN/AAdapterAltruistAnalyzerCaptainCollaboratorControllerCraftsmanGuardianIndividualistMaverickOperatorPersuaderPromoterScholarSpecialistStrategistVenturerStrength's Finders (Top 5)Strength #1Strength #2Strength #3Strength #4Strength #5Spiritual Gifts (Top 3)Spiritual Gift #1Spiritual Gift #2Spiritual Gift #3 These Are a Few of My Favorite Things...ColorFlowerFruitSalty SnackCandy or Candy BarSoft DrinkStarbucks DrinkTake Out RestaurantSit Down RestaurantBreakfast FoodProfessional Sports TeamCollegeHobbies Way I feel most valued/lovedIf you found a giftcard for the below amounts, where would you want it to be to?$5$25$50$100 EEOC Data Collection - 2019The 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 TitleGenderSelect your answerMaleFemaleAre 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.Select your answerYesNoI prefer not to answerRace/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.Select your answerAmerican Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa.Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East or North Africa.Two or more races (Not Hispanic or Latino): All persons who identify with more than one of the above five races.Job Category (select the option that most aligns with your position...best guess if not certain)Select your answerExecutive/Senior Level Officials and ManagersFirst, Mid-Level Officials and ManagersProfessionalsTechniciansAdministrative Support WorkersCraft Workers (construction)Laborers and HelpersService Workers
