Welcome to the team! We’re thrilled to have you at BLUR workshop.

We know you’re going to be a valuable asset to our company and can’t wait to see what you accomplish. Please take a moment to help us get you settled here.

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General Team Member Information

First Name

Please add your legal name for all entries below.

Middle Name

Last Name

Maiden Name (if applicable)

Social Security Number

Birth Date

YYYY

Gender

Male

Female

Contact Information

Primary Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address (if different for Taxes)

(Optional: if different than address above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Personal Email Address

Phone - Primary

(###)

###

####

Phone - Primary - Type

Phone - Secondary

Optional

(###)

###

####

Phone - Secondary - Type

Optional

Parking Information

You are allowed two vehicles to be registered to park in the office parking lot.

Primary Automobile

Secondary Automobile

Emergency Contact 1

Contact 1 - Name

First Name

Last Name

Contact 1 - Primary Phone Number

(###)

###

####

Contact 1 - Secondary Phone Number

(###)

###

####

What is your relationship with Emergency Contact 1?

Emergency Contact 2

Contact 2 - Name

First Name

Last Name

Contact 2 - Primary Phone Number

(###)

###

####

Contact 2 - Secondary Phone Number

(###)

###

####

What is your relationship with Emergency Contact 2?