Staff News Request

Employee Information Form

Name:    
Position Title    
Department or Unit    
Start date at/with the ARDC:    
Start date with the University:    
       
Please provide a brief description of your job duties or the type of work that you do at the University:
 
If you changed jobs/departments within the ARDC/University, were reclassified, or your job duties have changed significantly since you first started - please explain below. Please include title changes and years.:

 

Summarization of your education and/or previous work experience- please include any degrees that you may possess, where you received them from, major, and in what year.:

 
 

In the Extended Visions newsletter, we like to provide some minimal personal information. If you are uncomfortable sharing the following information for whatever reason - this is optional. Otherwise, please continue.

Spouse's Name:

Children's Names: Son Daughter

Children's Names: Son Daughter

Children's Names: Son Daughter

Children's Names: Son Daughter

Children's Names: Son Daughter

Children's Names: Son Daughter

I live: In Near

Please note that this next request for information may or may not be included in the newsletter.....what awards or recognition have you received?:

 

Please feel free to list any hobbies that you have or any other information pertinent to this request:

 

About this form

ARDC Image

  • Please use this form to provide information to be utilized in newsletters, news releases or other publicity outlets. Please direct any questions to dpittman1@unl.edu.