New Faculty Request

All fields are required unless noted below. We ask for this data to minimize confusion for everyone, and to help us troubleshoot when problems arise. Logging into myUVM requires data be in both BANNER and PeopleSoft.
Last Name:
First Name:
Middle Name:

(please provide if available)
Date of Birth:

(MM/DD/YY)
Social Security Number:*

(XXX-XX-XXXX)
*In the event the faculty member is a non-U.S. Citizen and does not have an SSN, please write "international" in the above field. If an SSN is issued at a later date, please provide the number to our office and HR.
Please select the term the faculty member will begin teaching:
Please select the term the teaching appointment concludes:
Will the faculty member be advising?  
Will the faculty member be teaching solely for Continuing Education?  
Is the instructor a graduate assistant?  
Department:
NetID:

*Can be found in the online directory.

Requestor's Email Address: