Petrolia CISD

PCISD Employee Information Update

Full Name

Reaquired field: Mailing Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Reaquired field: Physical Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Cell Phone

Home Phone

Name of Spouse/Significant Other

Spouse/SO Place of Employment

Spouse/SO Work #

Spouse/SO Cell Number

In Case of Emergency Contact:

Other Emergency Contact

Other Emergency Contact Phone #

Other Emergency Contact Relationship to Employee

The Texas Public Information Act allows employees, officials and former employees and officials to elect whether to keep their personal information confidential. Unless you choose to keep it confidential, the following information may be subject to public release if requested under the Texas Public Information Act. Therefore, please indicate whether you wish to allow the public release of the following information.

I authorize the release of my home address

Reaquired field: Yes

Reaquired field: No

I authorize the release of my personal e-mail address.

Reaquired field: Yes

Reaquired field: No

I authorize the release of my home phone number.

Reaquired field: Yes

Reaquired field: No

I authorize the release of my personal cell phone number

Reaquired field: Yes

Reaquired field: No

I authorize the release of information that reveals whether I have family members.

Reaquired field: Yes

Reaquired field: No

I agree to allow Petrolia CISD to deduct my personal lunch charges from my paycheck when applicable.

Reaquired field: Yes

Reaquired field: No

I agree to allow Petrolia CISD to deduct my child's/children's lunch charges from my paycheck when applicable.

Reaquired field: Yes

Reaquired field: No

I agree this information is correct and up-to-date

Email a copy to

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Required Fields