19-20 AAHP Staff Contact Form

Academy of Art of Highland Park & Gallery Inc. (AAHP)

727 Raritan Avenue, Highland Park, NJ 08904 USA

www.aahpnj.com (732)-777-2085

AAHP Staff Registration Form

(for AAHP paid staff, volunteers, and consultants)

2019 - 20 School Year
Current Date

Month Day Year
AAHP Worker's Name *

First Name Last Name
Date of Birth of AAHP Worker *

Month Day Year
Is this the first time filling out this form for this Worker? *
What corrections/updates would you like to make? *

Date of Birth Address Your 4-Digit Pin For Time Clock Log-in Your Contact Info Parent/Emergency Contact Info Class Coaching Info Classes Taken/Being Taken Info Number of Years Actively Coaching Volunteer or Paid Staff — position change Permission to walk to and from home Allergy Information 2017 re-submission required by AAHP
Gender self-identity or sex of AAHP Worker *
Is AAHP Worker volunteer, paid staff, or both? *
Age
All employees may be contacted through TextMagic, a text messaging service. If you do not own a cell phone, your parents will be contacted on your behalf.

For further information, consult the AAHP Employee Manual.
Mobile Phone Number of AAHP Worker *
If you don't have a pin yet, invent one now! Make sure to write it down on your/ your parent's phone as a memory keeper.

Also see your hard-copy Employment Packet for more information on your personal identification number (PIN).
4-Digit PIN for Time Clock Log-in for AAHP Worker
Email of AAHP Worker *
Address of AAHP Worker *

Street Address

Street Address Line 2

City State

Zip Code
Name of Parent/Guardian *

First Name Last Name
Parent/Guardian Home Phone Number *
Parent/Guardian Work Phone Number *
Parent/Guardian Cell Number *
Parent/Guardian Email *
Name of First Emergency Contact *

First Name Last Name
Relation to First Emergency Contact *
Ex: Emergency Contact is _____ of AAHP Worker (mother, not daughter)
First Emergency Contact Home Phone Number *
First Emergency Contact Work Phone Number *
First Emergency Contact Cell Phone Number *
First Emergency Contact Email *
Name of Second Emergency Contact *

First Name Last Name
Relation to Second Emergency Contact *
Ex: Emergency Contact is _____ of AAHP Worker (mother, not daughter)
Second Emergency Contact Home Phone Number *
Second Emergency Contact Work Phone Number *
Second Emergency Contact Cell Phone Number *
Second Emergency Contact Email *
Day(s) you can work at AAHP *

Monday Tuesday Wednesday Thursday Friday Sunday Not yet known
Available Hours for Monday
Available Hours for Tuesday
Available Hours for Wednesday
Available Hours for Thursday
Available Hours for Sunday
Are you (AAHP worker) currently taking classes at the AAHP? *
Has the AAHP worker taken classes at the AAHP in the past? *
Does the AAHP Worker have parental permission to walk to and from work? *
Number of Years Actively Working at AAHP *
Does the AAHP worker have any allergies and/or health issues that we need to be aware of?

The studio is filled with allergens. Dust, stains, grime, cleaning chemicals, food, and more are present at the studio.
Allergy/Health Confirmation *
Please describe allergies and/or health issues in detail in the space provided *
I certify that I am the parent or legal guardian of the AAHP employee and/or volunteer completing this form, that I approve of his or her answers/entries in this form, and that I grant the permissions hereby requested in this form.
Parent/Guardian Signature *
Should be Empty: