Boston College Personal Data Form
Version 2.1
This form is for new Boston College employees only. If you are already an employee of Boston College, use the UVIEW Agora application or the Personal Data Update Form to modify your personal data.
Select a section header to link to online instructions. |
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Social Security Number |
Birthdate (mm/dd/yyyy) |
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Gender (Required) |
State or Country of Birth |
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Have you ever been employed by Boston College? Yes No |
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II. Permanent (Legal) Address (for non-US citizens, please use non-US address) |
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III. Local Address (if different from Permanent Address) |
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Federal regulations require that all Boston College employees be identified in accordance with the standards for race and ethnicity classification developed by the U.S. Office of Management and Budget (OMB). To comply with federally mandated affirmative action reporting and analysis, Boston College must collect, report, and analyze accurate information about the Boston College workforce as a whole. Boston College requests your voluntary assistance in meeting this important requirement by self-identification, the preferred method of employee identification. The information obtained will be kept confidential and is used only in accordance with applicable laws and regulations. For employees who do not self-identify, federal law requires Boston College to determine this information by visual survey. Thus every employee must be identified in accordance with OMB standards, either by self-identification or visual survey. If you have any questions concerning the University's legal obligation to collect and report on this data, please contact The Office for Institutional Diversity. |
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Marital Status |
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Race or Ethnic Group (Required) |
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Do you have a disablility? |
Veteran Status |
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Highest Level of Education |
I learned of this job through |
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If you are a member of a Religious Order please indicate: |
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I authorize Boston College to deposit any payroll amounts owed to me to my account at the depository institution(s) listed below. I authorize Boston College to debit my account only for the purpose of correcting an amount erroneously credited to my account. I understand it is my responsibility to verify that payments issued by Boston College have been credited to my account before attempting to draw on the funds. I understand that this authorization will remain in effect until I change my account number and notify Boston College in writing by completing a Personal Data Update Form. |
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(This will not enroll you in any plan nor update any beneficiary information on your benefits records. This is for informational purposes only and is required of all benefits-eligible employees.) |
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IX. Signature |
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X. Processing (to be completed by HRSC representative) |
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EAGLE ID |
Processed in HRSC by: |
Important! Please keep a copy for your records.