UMIACS New Hire Form

Your Information

Your Email *
Your Name *

New Employee/Visitor Information

Email Address *
Firstname *
Middle Initial
Lastname *
Citizenship
Title *
Salary *
Department
Start Date *
End Date *
Full/Part-time Status *
Term *	9-1/2 month 12 month
Semester	Fall Spring Summer

Seating & Access

Need office space *	Yes No
Specify office space
Need access to rooms

Charge Accounts

Account Number	Percent

Comments

Additional Comments