PD-7a     


THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO     DATE PREPARED:
     April 17, 2014

POST-EMPLOYMENT PERSONNEL DATA FORM
Please use the Print button at the bottom of the page.
Personal Data
Name





Please attach copy of SS card to printout.
Permanent
Address




Are You:
     


(MM/DD/YYYY)






If not US Citizen

If employee is related by kinship or marriage to a university employee, give name, relationship, and department.



The information in this block is for campus directory purposes only.
If you do not wish this information to be included, please ignore this section.
Curriculum vitae:
If dates and locations of your education and employment records
are included on your curriculum vitae, the curriculum vitae may replace
the education and employment sections of this form.
Education
Institution Location Degree Major Field Date Conferred
Employment Record
Beginning Date Ending Date Firm or Institution Title/Position
Professional Activities
Active memberships in learned and professional societies.
If you are a member of Phi Beta Kappa Society:
When were you initiated?
Where were you initiated?
If you were initiated under a different name (such as maiden name) what was it?
(I.E. Who's Who in America, American Academy of Science)
carried out or under way

Click the "Print PD-7a" button and return the printout, Curriculum vitae and a copy of your Social Security card to:

The University of North Carolina at Greensboro
Associate Vice Provost for Faculty Personnel Services
201 Mossman Bldg.
1202 Spring Garden St.
Greensboro, NC 27412