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SPA Staff Orientation

Current Home Address & Phone number

The School of Nursing HR department needs your current home address, phone number, and SON directory information for our files. Please take a moment to complete this form and submit it online.


Your Current Home Address and Phone number

Name :

Home Address :

City :

State :

Zip :

Home Phone Number :
( ) -

I give permission for this information to be published in the School of Nursing Faculty and Staff Directory.

YES          NO

I understand that this is separate from my Division's Emergency Phone Tree and if I choose to not have my information published in the School of Nursing Faculty and Staff Directory, I am responsible for giving this information to my Division's Emergency Phone Tree manager so I can be contacted in the event of a School of Nursing Emergency.