New Faculty Benefits Orientation Registration

To register for a session, please complete the information below.
A confirmation email will be sent to confirm your reservation.

Faculty Member's Name Faculty Member's Name First Last
Faculty Member's Email
Faculty Member's Employee ID
Maximum of 7 digits allowed. Currently Entered: 0 digits.
Enter the 7 digit numerical employee ID (if known).
Date of Faculty Appointment Date of Faculty Appointment / MM / DD YYYY
Department Name
Preferred Session Date Preferred Session Date / MM / DD YYYY
Alternate Date Alternate Date / MM / DD YYYY

If the first date provided is not available, you will be enrolled in the session for this date.
Requestor Information

If you are a department representative reserving a seat for a new faculty member, enter your name and email. If you are a faculty member registering yourself, enter your name and email here as well as above.
Requested by Requested by First Last
Requestor's Email