NON - EMPLOYEE INFORMATION
Sponsoring
departments are responsible for entering non-employee information into
SAP. This form may be helpful to the
department. Granting of UAMS privileges
is contingent upon the entering of the following information into the SAP
database.
Name
of Non-employee: __________________ _____ ___________________________
First MI Last
Social
Security Number: _______ - ____- _______
Birth
date ______________________
Sponsoring
Department:
_____________________________ ____________
Name Org
Unit#
Name
of Company who employs this person: ___________________________________
(Or
home address of the non-employee)
Address _____________________________________
City,
State, Zip Code ____________________, ___, _______
Gender Female ______ Male
______ Unknown _______
Start
Date on campus _____________ End Date on campus ____________
UAMS
phone number: _____________
Second work phone Number __________________
UAMS
location: ______________
(building/number)
UAMS
mail slot: ______________
UAMS
fax number: ______________
Services
include Domain Access, On-line Telephone Listing, and ID Badge
Please
call these departments for additional services:
Parking (UAMS Parking) Yes No
Library Privileges Yes No
Other
_________________________________________________
Signature
of Department Director/Chair, Sponsoring Department:
_____________________________________________ _________________________ ____________
Name Title Date
Please
include a telephone number should we have any questions:
_________________________________
Telephone Number
OHR –