BSA Position Management Form

BSA Position Management Form

Date Submitted*

Submitted By*

Position Management Type*

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Department/Institute/Center*

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Biochemistry and Molecular Genetics*

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Cell & Developmental Biology*

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Micro-Immunology*

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Neuroscience*

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Pharmacology*

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Simpson Querrey Institute for Epigenetics*

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Center for Genetic Medicine*

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Graduate Program in Genetic Counseling*

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Supervisor Name*

Supervisor Email*

New title/new responsibilities*

Preferred termination date:*

Existing or New Position*

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Employee Name*

Position Title*

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Is this a student?*

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Is this a work-study position?*

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Volunteer Name:*

Volunteer Email:*

Volunteer Date of Birth:*

Appointment Start Date*

Appointment Length (months)*

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Requested Job Salary*

Visa Needed?*

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Visa Type*

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Full-Time/Part-Time*

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Total Hours Per Week*

Has a candidate been selected?*

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Candidate Name*

Candidate Email*

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