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	On Campus Online Both
Program Representative's Information
*Name
*Phone
Additional Notes/Comments
Notes