Change of Status to US Citizen

*(denotes required field)

TO BE COMPLETED BY EMPLOYEE

AU ID (9 digit ID beginning with 90) *

Auburn Department information section

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Hiring Department *

Hiring Department Contact Name (Person) *

Hiring Department Contact E-mail Address *

Personal information section

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(Name must be identical to that on the passport.)

Last Name (Surname): *

(Name must be identical to that on the passport.)

First Name *

AU Email Address *

Please upload the documents as instructed below.
Pictures are acceptable.
If you need assistance with copying or scanning your documents, please contact your hiring department.

Please attach either:

1. US Passport picture page

OR

2. Naturalization Certificate

Acceptable file types: doc,pdf,gif,jpg,jpeg,png,docx,bmp,tiff,tif,docx,xls.
Maximum file size: 100mb.

DISCLAIMER: I the above-named hereby certify that all of the above information is complete, true and correct. I understand that if I apply for a change of status from that which I have indicated above, I must report such change to the AU Hiring Department and complete an additional form. Failure to report such information may result in termination of employment until proof of eligibility to work is provided.

Yes *

Name *

Date *

I have read and accept the AU Privacy Statement *