University Human Resource Services
Bloomington
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Indiana University

University Human Resource Services
Bloomington

Excellence Training Certification for Support Staff
Application Form 2011 -2012

After you have completed this form, please PRINT it and send to:
Organizational Development
University Human Resource Services
400 E. 7th Street, Poplars E165

Participant’s Name:

Department:

E-mail:

Employee ID Number (not SSN):

Campus Mailing Address:

Phone:

Supervisor Information

Name of Supervisor:

Phone:

E-mail:

Campus Mailing Address:

What do you hope to gain from ETC?

Note: You must have approval from your supervisor to attend this program. Selection for the limited number of spaces in the ETC Program will be based on the order in which completed applications are received. A confirmation and class schedule will be sent to all participants. All other applicants will be placed on a waiting list for future openings.

PRINT and mail to the address above.

DUE DATE FOR APPLICATION: August 15, 2011.

 

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Page updated: 28 June 2011
UNIVERSITY HUMAN RESOURCE SERVICES
Poplars E165, 400 E. 7th St., Bloomington, IN 47405 • (812) 855-2172
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Indiana University is an Equal Employment Opportunity/Affirmative Action employer
and a provider of ADA services.
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