Faculty Orientation Form - All fields required

First Name:
Last Name:
Email Address:
Phone Number:

Choose one option below for a review of benefits:

I will attend a group information session for the benefits overview.

I will view the online benefits video overview. I will then have the opportunity to attend the Q&A session held at the Faculty Orientation Presentation scheduled on Monday, August 18, 2014, for any additional questions I may have.
You have chosen to  

Please choose a session to attend.

You also have the opportunity choose a group session to attend. Please choose a session:

Saturday, August 16, 2014, 10:00 - noon, Wine Price Building
Tuesday, August 19, 2014, 6:00 - 8:00 p.m., Wine Price Building
Wednesday, August 20, 2014, 9:00 - 11:00 a.m., Wine Price Building
I am opting out of a group information session.
You have chosen to attend the group information session (Group chosen).
Please choose a date to schedule an individual appointment to meet with a Benefits Coordinator to complete the required benefits paperwork.

Tuesday, August 19th
Wednesday, August 20th
Thursday, August 21st
(Date chosen)
Please choose a time.

9:00 - 10:00 AM 2:00 - 3:00 PM
10:00 - 11:00 AM 3:00 - 4:00 PM
1:00 - 2:00 PM 4:00 - 5:00 PM

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