LIONS ISD
 STAFF DATA

First Name:               Last Name:       

Mailing Address:                City:       

State:                Zip Code:       
Is this change of mailing address?                    Yes    No

911 Physical Address:               City:       
State:               Zip Code:       

Telephone#:        (ex.(361)999-9999)

Campus Location:        Select Campus/Location Elementry Jr. High School High School

How to you want to receive your summer paycheck?
  Direct Deposit
Pick up at Administration
Mailed to above address

Any other special instructions you need Payroll to know about: