EmailMe Form - AOP New Hire Information Form

Program that hired you *

Academic Opportunity Programs

Classic Upward Bound

Educational Talent Search

First Gen Outreach

LSAMP

McNair Scholars

Upward Bound Math/Science

Hiring Supervisor *

Position Category *

Student

Contractual

Full Time

Name *

First Last

Preferred Name (if different from first name)

Date of Birth *

MM / DD / YYYY

Last four digits of SSN *

Email *

Contact Phone *

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Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Shirt Size *

Citizenship Status (What country are you a citizen of) *

*This information is needed as part of the onboarding process to ensure all required paperwork is sent to the new hire for completion**

Citizenship Classification: If you are a US Citizen, please select N/A . Only required if citizenship status is “INTERNATIONAL” *

Have you worked at UMBC in the last 6 months? *

Yes

No

Are you currently on payroll for any agency in the state of Maryland (including other universities)? *

Yes

No

If so (working at another agency), will you continue to work there while working in this position?

Yes

No

Name *

First Last

Relationship to Emergency Contact *

Email of Emergency Contact *

Emergency Contact Phone *

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