Questionnaire

We need this information to decide whether or not to give you a raise.

Please fill in all the blanks

First Name
Last Name
Title
Department
Work Phone
E-mail
pager number
Sex Male Female

Tell me why you think you deserve a raise



Information being collected by Office of Human Resources
Revised: September 04, 2001

This page maintained by Elizabeth N. Stokes, estokes@astate.edu

last updated:  September 5, 2007