Directory / Emergency Information

Employee records

Employee

To be completed by all employees.

Name of employee

Building

Position

Grade or subject taught

Directory information

This section is shared with district employees. Tell the Business Office if there is anything here you do not want shared.

Home address

City

ZIP

New address

Check this box if this is a new address being reported.

Phone

Alternate phone (optional)

Alternate e-mail address

Second e-mail address (optional)

In case of emergency

This information is not shared unless in an emergency situation only.

Name

Address

Phone

Business address

Business phone

Relationship

If first choice is unavailable, please contact

Name

Address

Phone

Business address

Business phone

Relationship

Comments

Necessary for first responders — for example blood type, allergies. The printed form has four lines here; use as many as you need.

Comments (line 1)

Line 2

Line 3

Line 4

Any changes in the information listed above must be recorded immediately.