2013 staff discount - Berkeley Summer...
Transcript of 2013 staff discount - Berkeley Summer...
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