ࡱ> @B?%`  bjbj 4.̟̟ < ,  x$nh99= ==9 r=   =  ] G|0f]:f&f>L,x$99 ====&& Enterprise Person Data Input TemplateUse this form to gather information to enter a person of interest (Visitor, Colleague, PO Contractor, JIT Contractor, SARAPE, Emeritus) into Enterprise Person. Note: required Fields are prefixed with an * If you want the person to be onsite and have a badge SSN is required Legal Name: * First: FORMTEXT       Middle: FORMTEXT       * Last: FORMTEXT       Address: Effective Date: FORMTEXT       Address1: FORMTEXT       Address2: FORMTEXT       Address3: FORMTEXT       City: FORMTEXT       State: FORMTEXT       ZIP: FORMTEXT       County: FORMTEXT      Birth Information: * Date of Birth: FORMTEXT       * Country: FORMTEXT       * State: FORMTEXT       * Location: FORMTEXT       * SSN: FORMTEXT       Phone: Type:  FORMTEXT       FORMCHEC&'9 D F G M N X Y   " $ 8 : < F H L N X Z n p r | ~ ֽ}rkgh}K h{oh^[#jh},YUjh},YUjh},YUmHnHujh},YUh},Yjh},YUh8DZh{oh8DZh{o5h{oh{o5CJ\aJh}K5CJ\aJh{oh{o5CJ\aJh{oh{oCJaJ h{oh{o56CJ\]aJ(&'9 T ~lZQQH $Ifgdx% $Ifgd{odd$@&If[$\$gd{odd$@&If[$\$gd{okkd$$IfT-0L634-ayt{oT$dd$@&If[$\$a$gd{o       & ( < > @ J L ` b v x z     ( , . B hajh8DZUjPh8DZUjh8DZUjdh8DZUjh8DZUjxh8DZUh{ojh8DZUmHnHujh8DZUh8DZjh8DZU6B D F P R T V z ~     & ( * 4 6 : < N P d yuh^[#jh^[#UjHh'K7Ujh'K7Ujh'K7UmHnHuj`h'K7Ujh'K7Uh'K7h8DZh{oh8DZh{o5h{oh{oCJaJ h{oh{ojh8DZUmHnHujh8DZUj<h8DZU)T V Z\{riiiiiii $IfgdrBE $Ifgdx%kd$$IfT-0y0L634-abytx%T d f h r t x z   $&(<>@JLbdfz|~ڴڴ{ڴpj hrBEUj hrBEUj hrBEUUjhrBEUmHnHujhrBEUjhrBEUhrBEh8DZh{o5 h{oh{oj0h^[#Uh^[#h8DZh{ojh^[#UmHnHujh^[#Ujh^[#U,KBOX  Telephone:  FORMTEXT       Extension:  FORMTEXT       Type:  FORMTEXT       FORMCHECKBOX  Number:  FORMTEXT       Extension:  FORMTEXT       Note: check preferredCitizenship: * Country: FORMTEXT       * Status: FORMTEXT       * Relationship: FORMTEXT       Note: You must enter all citizenships Email Address:  FORMTEXT      Contractor: Contract Number: FORMTEXT       Please return to me by e-mail or by fax at (505) 284-2518. If you send by fax, please call me at (505) 284-6864 to let me know it will be coming in. Thank you!   24HJLVX\󵮣|njh8DZUmHnHuj h8DZUjh8DZUh8DZh8DZh8DZ5h8DZh{o5h{oh{oCJaJ h{oh{oh{oj hrBEUjd hrBEUj hrBEUjhrBEUmHnHujz hrBEUhrBEjhrBEU+{rrgg $Ifgdx% $Ifgd{okdP $$IfT-0y0L634-abytx%T  8:NPR\^02FHJTVZ\Ž|ti|j~h8DZUh8DZh8DZ5h{oh{oCJaJ h{oh{ojh"cUmHnHujZh"cUh"cjh"cU hm 5 hy5h8DZh{o5 h{oh^[#j h8DZUjh8DZUmHnHujn h8DZUh8DZjh8DZUh{o)XZ{pg $Ifgd{o $Ifgd{okd$$IfT-0y0L634-abytx%TZ\^` {yyykd$$IfT-0y0L634-abyt"cT\^ hyh},YOJQJ^Jh},YOJQJ^Jh OJQJ^J21h:py/ =!"#$% $$If!vh5L#vL:V -0L6,5/ 34-yt{oTtDText1tDText2tDText3vDText13vDText14vDText15vDText16vDText17vDText18vDText19vDText20$$If!vh55#v:V -0L6,5/ 34-ytx%TtDText4tDText5tDText6tDText7tDText8vDText21tDeCheck1vDText22vDText23vDText24tDeCheck2vDText25vDText26$$If!vh55#v:V -0L65/ 34-ytx%TvDText10vDText11vDText12vDText27$$If!vh55#v:V -0L6,5/ 34-ytx%TtDText9$$If!vh55#v:V -0L6,5/ 34-yt"cT@@@ NormalCJ_HaJmH sH tH N@2N {o Heading 3dd@&[$\$5CJ\aJN@RN {o Heading 5dd@&[$\$5CJ\aJN@bN {o Heading 6dd@&[$\$5CJ\aJDAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No List.&'90  0 0 0000 0 0 0 0000000 0 00 00 0 0 0 0 000&'90Z00@0 Z00Z00Z00Z00@0X00Z00X00Z00X00@0Z00Z00@0Z00Z00@0 009 B d \  T Z   MY_kw} #/5=IOUagp| '-=IOP`my6BHS_evFFFFFFFFFFFFFFFFFG FFFG FFFFFFFText1Text2Text3Text13Text14Text15Text16Text17Text18Text19Text20Text4Text5Text6Text7Text8Text21Check1Text22Text23Text24Check2Text25Text26Text10Text11Text12Text27Text9Mk #=Up<Ql6Sv `~6Ph.PaIf L |E ,/   9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity 0D3 wN`6KKKK1%=dbm'L l m   d w3 v y r8zeB7iS=$C!"^[# D$m$&&+&G&5r&_'o'Q(f)s)^*>+X+O+/%/u/D1 2t293~b34 +5J5'K7<xH<l?tu?J@rBEsE$F>G Io`J}KLSN|iNTP$Q2R3S5WQW},Y8DZzX[|]I"]6]&:`a aa"aYawzb"cc{vddemeh;hkqBknvojo{oVpZ;sCsRs6t*uHvWw%y3y^ayfy!|~%~ *1yC1gL' 6{^Z=^T<t\}Xnhp"2Kw!""M uzQ-S (x% gpDr>@~kI/G?"TpU58 f(c@!{U '/W<7d RfD'by%O&"Ll, B|`dm'<TN#Kb2ivFXVwK Eux3$P>6e@lV \&dn&'0@ }t}}4ZZZp@p p pUnknownGz Times New Roman5Symbol3& z Arial"h ff   !24d2QHX)?{o2%Enterprise Person Data Input TemplatevcolemavcolemaOh+'0  ( H T `lt|(Enterprise Person Data Input TemplatevcolemaNormalvcolema13Microsoft Office Word@V@&,M@j]՜.+,0( hp   Sandia National Laboratories ' &Enterprise Person Data Input Template Title  "#$%&'()*+,-.012345689:;<=>ARoot Entry F`]CData 1Table!fWordDocument4.SummaryInformation(/DocumentSummaryInformation87CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q