2013 staff discount - Berkeley Summer...

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2013 STAFF DISCOUNT FORM 1995 University Avenue, Suite 130 (MC 1080) Phone: 510-642-5611 Fax: 510-664-9825 [email protected] THIS SECTION IS COMPLETED BY THE EMPLOYEE Name Employee ID # Posi on For How Long? Da me Phone Evening Phone Email Address Signature Title Extension Date Signature Date Address Which Campus? Signature Date SID forma on is true. e meets the eligibility requirements for the Berkeley Summer Sessions Staff Discount. OFFICE USE ONLY Status Veried Berkeley Summer Sessions Berkeley Summer Sessions would like to invite current career, casual, or program at a reduced cost. Save the cost of the Summer Sessions Enro out way of saying thanks to dedicated employees for maintaining such an outstanding university. ampus, lab, or the Office of the President are eligible. Long-term temporary staff with appointments longer than 6 months are also eligible. You will eligibility. Employees who are also matriculated students and researchers who have “courtesy appointments” without salary are NOT eligible. Just complete this form and send it to Berkeley Summer Sessions, 1995 University Ave., Suite 130 (campus mail code 1080), with your Berkeley he $335 Enrollment Fee. NOTE: If you cancel or withdraw from Berkeley Summer Sessions prio you will receive no refund. You can find the Deadline Calendar from our * ALL FIELDS ARE REQUIRED THIS SECTION IS COMPLETED BY THE IMMEDIATE SUPERVISOR U G

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Page 1: 2013 staff discount - Berkeley Summer Sessionssummer.berkeley.edu/.../files/2013_staff_discount.pdf · 2013-02-13 · 2013 STAFF DISCOUNT FORM 1995 University Avenue, Suite 130 (MC

2013 STAFF DISCOUNT FORM 1995 University Avenue, Suite 130 (MC 1080)

Phone: 510-642-5611 • Fax: [email protected]

THIS SECTION IS COMPLETED BY THE EMPLOYEE

Name Employee ID #

Posi on For How Long?

Da me Phone Evening Phone Email Address

Signature Title Extension Date

Signature

Date

Address Which Campus?

Signature Date

SID

forma on is true.

e meets the eligibility requirements for the Berkeley Summer Sessions Staff Discount.

OFFICE USE ONLY

Status Verified

Berkeley Summer Sessions

Berkeley Summer Sessions would like to invite current career, casual, or program at a reduced cost. Save the cost of the Summer Sessions Enro

out way of saying thanks to dedicated employees for maintaining such anoutstanding university.

ampus, lab, or the Office of the President are eligible. Long-term temporarystaff with appointments longer than 6 months are also eligible. You will eligibility. Employees who are also matriculated students and researchers who have “courtesy appointments” without salary are NOT eligible.

Just complete this form and send it to Berkeley Summer Sessions, 1995 University Ave., Suite 130 (campus mail code 1080), with your Berkeley

he $335 Enrollment Fee.

NOTE: If you cancel or withdraw from Berkeley Summer Sessions prio

you will receive no refund. You can find the Deadline Calendar from our

* ALL FIELDS ARE REQUIRED

THIS SECTION IS COMPLETED BY THE IMMEDIATE SUPERVISOR

U G