Employee Information Change Form – Human Resources

This form is to notify Carleton College of any information changes from employees. This form is not to be used by Dining Services employees. If you are a Dining Services employee and have information changes, please contact Bon Appetit directly.
Are you:*
- Faculty
- Staff
Personal Information Change, please check all that apply:*
- Address/Phone Change
- Name Change
- Other
Legal last name:*
Legal first name:*
Legal middle name:
Preferred name (the name you prefer for internal campus mailings, Carleton directory, etc., i.e. Bill vs. William)
Current street address or PO box:
City:
State:
ZIP code:
Contact phone:
Type of phone number
Name of Spouse/Partner:
Preferred joint mailing name (i.e., Mr. and Mrs. John Doe or Mr. John Doe, Ms. Jane Doe):
Emergency contact (please list name, address, phone, and relationship to you):
Other employee information changes
Comments
This field is for validation purposes and should be left unchanged.