Forms & Links Personal Data Form Personal Data Form * indicates required field Select a contact:* Select Civil & Environmental Engineering Institute of Carbon Management EMPLOYEE IDENTIFICATION Bruin ID (if available): Employee ID (if available): Enter name exactly as it appears on your social security card or passport First or Given Name:* Middle Name: Last or Family Name:* Date of Birth:* LOCAL/US MAILING ADDRESS Street Address:* City:* State:* Zip Code:* Personal Contact Number:* Email:* EMPLOYMENT STATUS AND EDUCATIONCheck the box if the statement applies to you. I have an existing, concurrent appointment at UCLA or another UC. I will be working outside of California or the U.S. remotely during my appointment (some or all of the time). *Additional forms need to be completed. If working remotely, from which state or country will you be working from? I have a Work Study Award that I would like to apply to this appointment Student Status: 1 - Not Registered 2 - Not Registered Degree Candidate 3 - Undergraduate 4 - Graduate 5 - Not Registered Degree Candidate/Other Campus 6 - Undergraduate/Other Campus 7 - Graduate/Other Campus 8 - Not a Student Highest Degree Earned: N - No Academic Certificate H - High School or Equivalent T - Trade Certificate A - Associate B - Bachelor's M - Master's P - Professional D - Doctorate Year Awarded (Enter N/A if answered N to left):* DISCLOSURES Employee Organizations/Union Disclosures - Mark the information below that you DO NOT want to be released: Home Address Personal Contact Number Email Address UC Directory Disclosures - Mark the information below that you DO NOT want to be listed: Home Address Personal Contact Number Spouse Name SIGNATURE Employee Electronic Signature (Type full name):* Date Completed:*