New Employee Information Form Employee Personal Information First Name (Required) Last Name (Required) Personal Street Address (Required) Personal Street Address 2: Personal City (Required) Personal State (Required) --None-- ** - ** AB - Alberta AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona BC - British Columbia CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MB - Manitoba MD - Maryland ME - Maine MH - Marshall Islands MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NB - New Brunswick NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NL - Newfoundland and Labrador NM - New Mexico NS - Nova Scotia NSW - New South Wales NT - Northern Territory NT - Northwest Territory NU - Nunavut NV - Nevada NY - New York OH - Ohio OK - Oklahoma ON - Ontario OR - Oregon PA - Pennsylvania PE - Prince Edward Island QC - Quebec QLD - Queensland RI - Rhode Island SA - South Australia SA - South Australia SC - South Carolina SD - South Dakota SK - Saskatchewan TAS - Tasmania TN - Tennessee TX - Texas UT - Utah VA - Virginia VIC - Victoria VT - Vermont WA - Washington WA - Western Australia WI - Wisconsin WV - West Virginia WY - Wyoming YT - Yukon Personal Zip Code (Required) Personal Email (Required) Personal Cell (Required) Home Phone (Required) Enter cell number if you do not have a separate home number. Birthday (Required) contact_birthdate --Month-- January February March April May June July August September October November December contact_birthdate --Day-- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Work Information Job Title (Required) Travel Portland Email (Required) Travel Portland Desk Phone (Required) Travel Portland Extension (Required) 1 plus the last 3 digits of your desk phone. Travel Portland Cell (Required) If you don't have a work mobile, please list your personal here. Supervisor (Required) Hire Date (Required) Department (Required) Communications & PR Community Engagement Community Relations Convention Sales Convention Services Equity, Diversity & Inclusion Events Executive Division Finance and Administration International Affairs Marketing Public Affairs & Regional Strategy Visitor Services Emergency Contact Information In the event of an emergency, please contact: Emergency Contact (Required) Emergency Address (Required) Emergency City (Required) Emergency State (Required) --None-- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Emergency Zip Code (Required) Emergency Cell Phone (Required) Emergency Daytime Phone (Required) Enter cell number if you do not have an alternate daytime phone number. Please make sure all the above fields are completed, prior to submitting. Submit Reset Was this page helpful? No Yes