HR Appointment Request Form

Fields marked with * are required.

Please do not enter information in ALL CAPS.

Orientation/Start Date*

Date/time preference (dependant upon EHS availability)

Social Security Number*

Last Name*

First Name*

MUSC ID Number

Birth Date*

Added 3-4-08 at the request of Risk Management.

Entity*

Cost Center (if MUHA/MUSC)

Dept Name*

Employment Status*

HR Rep*

Please send an email to ehs1@musc.edu to add, delete, or correct entries on HR Rep list.

HR Rep Email*

Please accurately enter email address since the appointment date and time will be sent to this address.

Dept Contact*

Dept Contact Phone #*

Dept Contact Email*

Dept Manager*

Dept Manager Phone #*

Dept Manager Email*

Dept Director

Dept Director Phone #

Dept Director Email

Job Code (if MUHA/MUSC)

Job Title*

Type of Contact*

Hold Ctrl to choose all that apply.

If Animals, list

Drug Screen*

Additional Information

PLEASE NOTE:
- All cancellations and/or reschedules must be made in writing to ehs1@musc.edu. We are no longer able to accept phone cancellations and/or reschedules.
- Due to the high volume of appointments, cancellations must be made 2-3 business days prior to scheduled appointments so the appointment times may be given to other candidates.