Editing previous response:

Please fix the highlighted areas below before submitting.

HR Assistance Request

EVERETT PUBLIC SCHOOLS
Human Resources Deparment
Director: Elaine Monge

This form is not to be used for payroll assistance requests, please see the appropriate form.

Please complete the form below. Required fields marked with an asterisk *

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Employee ID Number

Answer Required

Phone Number*

Number Required

School/Location*

Answer Required

Please Describe the Problem*

Answer Required

Upload Attachment/JPEG

This is optional

Answer Required

Choose a file or drag it here.

FOR INTERNAL USE ONLY

EPS Human Resources Department

Answer Required

Confirmation Email

Confirmation Email *

Email Required