Personal Information Form
** All fields are required unless noted. Click on the
for additional information.
Name
Please provide the name that appears on your government-issued identification.
First Name
(Value Required)
Middle Name
optional
Last Name
(Value Required)
Previous Last Name
optional
Personal Information
Social Security Number (SSN)
This information is required if you will be hired as an employee. If you do not yet have a social security number, please leave the field blank.
Birthdate (MM/DD/YYYY)
(Value Required)
Popup Calendar: Birthdate (MM/DD/YYYY)
Expected format: MM/DD/YYYY
Gender
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Female
Male
Contact Information
Country
(Value Required)
Afghanistan(Afghanistn)
Aland Islands(Aland Is.)
Albania(Albania)
Algeria(Algeria)
American Samoa(Am Samoa)
Andorra(Andorra)
Angola(Angola)
Anguilla(Anguilla)
Antarctica(Antarctica)
Antigua and Barbuda(Antigua)
Argentina(Argentina)
Armenia(Armenia)
Aruba(Aruba)
Australia(Australia)
Austria(Austria)
Azerbaijan(Azerbaijan)
Bahamas(Bahamas)
Bahrain(Bahrain)
Bangladesh(Bangladesh)
Barbados(Barbados)
Belarus(Belarus)
Belgium(Belgium)
Belize(Belize)
Benin(Benin)
Bermuda(Bermuda)
Bhutan(Bhutan)
Bolivia(Bolivia)
Bonaire, Sint Eustatius & Saba(BES)
Bosnia and Herzegovina(Bosnia Her)
Botswana(Botswana)
Bouvet Island(Bouvet Is.)
Brazil(Brazil)
British Indian Ocean Territory(BritishIOT)
Brunei Darussalam(Brunei)
Bulgaria(Bulgaria)
Burkina Faso(Burkina F)
Burundi(Burundi)
Cambodia(Cambodia)
Cameroon(Cameroon)
Canada(Canada)
Cape Verde(Cape Verde)
Cayman Islands(Cayman Is.)
Central African Republic(Central Af)
Chad(Chad)
Chile(Chile)
China(China)
Christmas Island(Christmas)
Cocos (Keeling) Islands(Cocos Is.)
Colombia(Colombia)
Comoros(Comoros)
Congo(Congo)
Congo, The Democratic Republic(Congo, The)
Cook Islands(Cook Is.)
Costa Rica(Costa Rica)
Cote D'Ivoire(Cote D'Ivo)
Croatia(Croatia)
Cuba(Cuba)
Curacao(Curacao)
Cyprus(Cyprus)
Czech Republic(Czech Rep)
Denmark(Denmark)
Djibouti(Djibouti)
Dominica(Dominica)
Dominican Republic(Dominican)
East Timor(East Timor)
Ecuador(Ecuador)
Egypt(Egypt)
El Salvador(ElSalvador)
England(England)
Equatorial Guinea(Guinea)
Eritrea(Eritrea)
Estonia(Estonia)
Ethiopia(Ethiopia)
Falkland Islands (Malvinas)(Falkland I)
Faroe Islands(Faroe Is.)
Fiji(Fiji)
Finland(Finland)
Fmr Yugoslav Rep of Macedonia(Macedonia)
France(France)
French Guiana(Fr Guiana)
French Polynesia(Fr Polynes)
French Southern Territories(Fr S Terr)
Gabon(Gabon)
Gambia(Gambia)
Georgia(Georgia)
Germany(Germany)
Ghana(Ghana)
Gibraltar(Gibraltar)
Greece(Greece)
Greenland(Greenland)
Grenada(Grenada)
Guadeloupe(Guadeloupe)
Guam(Guam)
Guatemala(Guatemala)
Guernsey(Guernsey)
Guinea(Guinea)
Guinea-Bissau(Guinea-Bis)
Guyana(Guyana)
Haiti(Haiti)
Heard and McDonald Islands(Heard Is)
Holy See (Vatican City State)(Vatican)
Honduras(Honduras)
Hong Kong(Hong Kong)
Hungary(Hungary)
Iceland(Iceland)
India(India)
Indonesia(Indonesia)
Iran (Islamic Republic Of)(Iran)
Iraq(Iraq)
Ireland(Ireland)
Isle of Man(IoM)
Israel(Israel)
Italy(Italy)
Jamaica(Jamaica)
Japan(Japan)
Jersey(Jersey)
Jordan(Jordan)
Kazakhstan(Kazakhstan)
Kenya(Kenya)
Kiribati(Kiribati)
Korea, Democratic People's Rep(Nth Korea)
Korea, Republic of(Sth Korea)
Kosovo(Kosovo)
Kuwait(Kuwait)
Kyrgyzstan(Kyrgyzstan)
Lao People's Democratic Rep(Lao)
Latvia(Latvia)
Lebanon(Lebanon)
Lesotho(Lesotho)
Liberia(Liberia)
Libyan Arab Jamahiriya(Libyan Ara)
Liechtenstein(Liechtenst)
Lithuania(Lithuania)
Luxembourg(Luxembourg)
Macao(Macao)
Madagascar(Madagascar)
Malawi(Malawi)
Malaysia(Malaysia)
Maldives(Maldives)
Mali(Mali)
Malta(Malta)
Marshall Islands(Marshall I)
Martinique(Martinique)
Mauritania(Mauritania)
Mauritius(Mauritius)
Mayotte(Mayotte)
Mexico(Mexico)
Micronesia, Federated States(Micronesia)
Moldova, Republic of(Moldova)
Monaco(Monaco)
Mongolia(Mongolia)
Montserrat(Montserrat)
Morocco(Morocco)
Mozambique(Mozambique)
Myanmar(Myanmar)
Namibia(Namibia)
Nauru(Nauru)
Nepal(Nepal)
Netherlands Antilles(Nth Antill)
Netherlands(Netherland)
New Caledonia(New Caledo)
New Zealand(NZ)
Nicaragua(Nicaragua)
Niger(Niger)
Nigeria(Nigeria)
Niue(Niue)
Norfolk Island(Norfolk Is)
Northern Ireland(Northern I)
Northern Mariana Islands(N Marina I)
Norway(Norway)
Oman(Oman)
Pakistan(Pakistan)
Palau(Palau)
Palestinian Territory, Occupie(Palestinia)
Panama(Panama)
Papua New Guinea(PNG)
Paraguay(Paraguay)
Peru(Peru)
Philippines(Philippine)
Pitcairn(Pitcairn)
Poland(Poland)
Portugal(Portugal)
Puerto Rico(Puerto Rco)
Qatar(Qatar)
Republic of Montenegro(Montenegro)
Republic of Serbia(Serbia)
Reunion(Reunion)
Romania(Romania)
Russian Federation(Russian Fd)
Rwanda(Rwanda)
Saint Barthelemy(St Barth)
Saint Helena(St Helena)
Saint Kitts and Nevis(St Kitts)
Saint Lucia(St Lucia)
Saint Martin(St Martin)
Saint Pierre and Miquelon(St Pierre)
Samoa(Samoa)
San Marino(San Marino)
Sao Tome and Principe(Sao Tome)
Saudi Arabia(Saudi Arab)
Scotland(Scotland)
Senegal(Senegal)
Seychelles(Seychelles)
Sierra Leone(Sierra Leo)
Singapore(Singapore)
Sint Maarten (Dutch part)(Sint Maart)
Slovakia(Slovakia)
Slovenia(Slovenia)
Solomon Islands(Solomon Is)
Somalia(Somalia)
South Africa(Sth Africa)
South Sudan(Sth Sudan)
Spain(Spain)
Sri Lanka(Sri Lanka)
St Vincent and the Grenadines(St Vincent)
Sth Georgia & Sth Sandwich Is(S Georgia)
Sudan(Sudan)
Suriname(Suriname)
Svalbard and Jan Mayen(Svalbard)
Swaziland(Swaziland)
Sweden(Sweden)
Switzerland(Switzerlan)
Syrian Arab Republic(Syrian Ara)
Taiwan(Taiwan)
Tajikistan(Tajikistan)
Tanzania, United Republic of(Tanzania,)
Thailand(Thailand)
Togo(Togo)
Tokelau(Tokelau)
Tonga(Tonga)
Trinidad and Tobago(Trinidad)
Tunisia(Tunisia)
Turkey(Turkey)
Turkmenistan(Turkmenstn)
Turks and Caicos Islands(Turks Is)
Tuvalu(Tuvalu)
US Minor Outlying Islands(US Islands)
Uganda(Uganda)
Ukraine(Ukraine)
United Arab Emirates(UEA)
United Kingdom(UK)
United States(USA)
Uruguay(Uruguay)
Uzbekistan(Uzbekistan)
Vanuatu(Vanuatu)
Venezuela(Venezuela)
Viet Nam(Viet Nam)
Virgin Islands (British)(BrVirginIs)
Virgin Islands (U.S.)(VirginIsUS)
Wales(Wales)
Wallis and Futuna Islands(Wallis and)
Western Sahara(W Sahara)
Yemen(Yemen)
Yugoslavia(Yugoslavia)
Zambia(Zambia)
Zimbabwe(Zimbabwe)
Home Address Line 1 (i.e. Street Address)
(Value Required)
Home Address Line 2 (i.e. Apt Number)
optional
City / Town
(Value Required)
State
(Value Required)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
ZIP Code
Phone Number
(Value Required)
Personal Contact Email
(Value Required)
Affiliation Information
Please indicate the department/school and contact that referred you to complete this form.
Stanford Hiring Department
(Value Required)
Stanford Human Resources or Program Contact (Full Name)
(Value Required)
Security
(Value Required)
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