GRANT EMPLOYEE HIRING FORM

(Please Print)

Employee Name:______________________________________________________________

Is the employee a student of BMC or HAV? ____Yes ____No

If Yes, ____Graduate ____Undergraduate

Employee Social Security Number:________________________________________________

Position Job Title:_____________________________________________________________

Position FTE (Full Time Equivalent):____________%

Position Start Date: ___/___/___ End Date *: ___/___/___

Salary For Above Period: $____________.___

Budget #(11 digits):__ - __ __ __ __ __ - __ __ __ __ __ - __ __ __ __ __ ____%

Budget #(11 digits):__ - __ __ __ __ __ - __ __ __ __ __ - __ __ __ __ __ ____%

Budget #(11 digits):__ - __ __ __ __ __ - __ __ __ __ __ - __ __ __ __ __ ____%

NOTE: *Position End Date must be on or before the budget period end date. If position will continue to new grant year, a new form must be submitted for that budget period. A/P salaries are calculated on the first of the month to the end of the month basis.

                                Signature of Principal Investigator ____________________________

                                Date ___/___/___

PLEASE RETURN TO FACULTY GRANTS OFFICE, TAYLOR HALL

Grants Office Approval Signature ____________________________

Date  ___/___/___

Revised September 2005