UC Irvine Extension
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Request for New Instructor Hiring Packet

* = Required Information

No instructor contract can be issued until the hiring packet is completed
by instructor and returned with all documentation to UNEX HR.
 

Instructor Information
*Name
*Email
*Mailing Address

 
*City
*State/Province
*Zip/Postal Code
*Country
*Home Phone
Cell Phone
Fax
Class Information
*Start Date
*Term
*Account/Fund/CIP Code
Class Type
Program Representative's Information
*Name
*Phone
Additional Notes/Comments
Notes