NEW HIRE PERSONAL INFORMATION FORM
All fields are required unless otherwise noted
Full Legal Name: ARNAV GUPTA
U of U ID#: u1450149
Birth Date: 07/13/2000
Social Security Number:
May contact Andy Rodgers at Human Resources at 801-585-3963 to provide SSN over the phone.
Address: 350 South 200 West C319, Salt Lake City, Utah, 84101
Including City, State, and Zip Code
Phone #: +1 (609) 496-8350
Email: arny.arnav@gmail.com / u1450149@utah.edu
Please indicate your citizenship status:
Citizen
Permanent Resident
Do you currently work, or have you ever worked for the University of Utah?
Are you a current University of Utah student, or have you been a student?
Alien Authorized to Work
Yes
Yes
No
No
EMERGENCY CONTACT INFORMATION
Name: Anuj Gupta
Relationship to employee: Uncle
Same address as employee?
Yes
No -If no, please indicate below
Address: 9 Springhouse Ct Bordentown, New Jersey, 08505
Including City, State, and Zip Code
Phone #: +1 (848) 203-2658
Other Phone #: NA
Type: Mobile
OPTIONAL
Gender:
Marital Status:
Are you Hispanic or Latino?
Yes
What is your race? Select one or more:
Highest Education Level:
No
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
White
EPAF Information –For Office Use Only
PRN:
Hire Date:
Job Code:
Org ID/Home Org ID:
Supervisor uNID:
Hourly (nonexempt) or Annual rate (exempt):
Hours/FTE:
Chartfield:
*Optional: *Working Title:
*Office Phone #:
Black or African American