Pre-Enrollment Questionnaire
Personal Information
Name
*
First Name
Middle Initial
Last Name
Suffix
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Number
*
Please enter a valid phone number.
Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Sex
*
Male
Female
Other
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Back
Next
Save
Employment Information
Status
*
New Hire
Rehire
Return from Unpaid LOA
Other
Date of Hire (Actual Start Date)
*
/
Month
/
Day
Year
Date
Are you currently or have you previously worked for another district within San Diego County?
*
Yes
No
Classification
*
Please Select
Classified (i.e. Paraprofessionals, Secretarial, Custodial, etc.)
Certificated (i.e. Teachers, Nurses, Coordinators, Counselors, etc.)
Leadership (Management, Administrative, Assistant Principals, Executive Assistants, etc.)
Job Title
*
Work Site
*
Please Select
Adult Transition Program
Chavez MS
Clair Burgener
Del Rio ES
District Office
El Camino HS
ESS
Foussat
Ivey Ranch ES
Jefferson MS
King MS
Laurel ES
Libby ES
Lincoln MS
Maintenance & Operations
McAuliffe ES
Mission ES
Nichols ES
North Terrace
Nutrition Services
Oceanside HS
Pablo Tac ES
Palmquist ES
Reynolds ES
Santa Margarita
South Oceanside ES
Stuart Mesa
Surfside Academy
Transportation
Warehouse
Other
Back
Next
Save
Insurance Coverage Information
Are you related to another OUSD employee?
*
Yes
No
If you answered "yes" to the previous question, please type the name of the OUSD employee:
Insurance Tutorial Online:
*
Are you considering waiving (not enrolling in) the OUSD-sponsored medical insurance? (You are still required to attend the MANDATORY orientation.)
*
Yes
No
Not Sure
Save
Submit
Should be Empty: