SimpleForms :: Getting Started and Enrollment

Getting Started and Enrollment

Welcome and thank you for your interest in WVU's Dual Career Program provided by the Division of Human Resources. To better understand your job search needs, please complete the following enrollment form. When completed, click the submit button and your information will be directly forwarded to the Dual Career Program. We look forward to meeting you and discussing your employment needs.

What is your affiliation with WVU?

What is your affiliation with WVU?

required

New Faculty Appointment
Potential Faculty Appointment
Other

If 'Other' please specify:

Date of Appointment

required

Example: MM/DD/YYYY

College/School Affiliation

required

Department Name

required

Referred by Last Name

required

Referred by First Name

required

Faculty Member Last Name

required

Faculty Member First Name

required

Address

required

City

required

State

required

Zip code

required

Example: 12520

Phone Number

required

Example: (555) 555-5555

Email Address

required

Example: dmolsen@hotmail.com

Relocation Date

Example: MM/DD/YYYY

Spouse/Partner Information Seeking Assistance

Spouse/Partner Last Name

required

Spouse/Partner First Name

required

Spouse/Partner Email Address

required

Example: dmolsen@hotmail.com

Spouse/Partner Phone Number

required

Example: (555) 555-5555

Are you legally authorized to work in U.S.?

Are you legally authorized to work in U.S.?

required

Yes
No

Type of work authorization

Type of work authorization

required

U.S. Citizen
Permanent Resident
Employment Authorization

When are you available to begin employment?

Example: MM/DD/YYYY

What type of position(s) are you interested in?

Type of work you desire?

Type of work you desire?

Full-time
Part-time

How did you learn about the program?

How did you learn about the program?

required

Dual Career website
Your partner's employing department
Someone who participated in the program
Other

If 'Other' please specify:

What type of assistance would you like to received?

What type of assistance would you like to received?

Please upload your resume or curriculum vitae.

Files must be less than 10MB and file names
less than 30 characters.

Please use this space to provide us with any additional information that you would like to share regarding your employment or relocation needs.

WVU's SimpleForms

Getting Started and Enrollment