Indiana University
Revised: June 2014 University Human Resources

Excellence Training Certification for Support Staff
Application Form 2014 -2015

After you have completed this form, please PRINT it and send to:
Organizational Development
University Human Resources
400 E. 7th Street, Poplars E165

Participant’s Name:

Department:

IU E-mail:

Employee ID Number (not SSN):

Campus Mailing Address:

Phone:

Supervisor Information

Name of Supervisor:

Phone:

IU E-mail:

Campus Mailing Address:


What do you hope to gain from ETC?


Note: You must have approval from your supervisor to attend this program. Selection for the limited number of spaces in the ETC Program will be based on the order in which completed applications are received. A confirmation and class schedule will be sent to all participants. All other applicants will be placed on a waiting list for future openings.

PRINT and mail to the address above.

DUE DATE FOR APPLICATION: August 1, 2014.

 

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