Note that Orientation dates are listed in a drop-down box near the bottom of this form under the heading "Orientation Information."
*Employee First Name
*Current e-Mail Address:
(Benefits information will be e-mailed to the individual prior to Orientation.)
Is this person currently employed at UVM in another
Please include a contact number in case we need to reach this individual prior to Orientation.
*Best Contact # (Home or Cell Phone):
*Employee's Work Address (where their paycheck will be mailed)
Name of Employee's Supervisor (First Last):
*Employee Start Date (mm/dd/yyyy):
PeopleAdmin Posting Number
(to appear in Directory
information and on CATcard)
*Is this a temporary position?
Fletcher Allen Salary:
Exempt or Nonexempt:
Bi-weekly or Semi-monthly:
*Is the employee part of a Bargaining Unit?
If yes, Union Name:
Specialized training needed for the position:
*Date Requested for Orientation (mm/dd/yyyy):
December 16, 2013
January 6, 2014
February 3, 2014
February 18, 2014
March 17, 2014
Select a Date
Will the employee need assistance or accommodations at Orientation?
If yes, please describe:
*Your First Name
*Your UVM Phone Number:
*Today's Date (mm/dd/yyyy):