Several logistical items require your attention prior to your arrival in Boston, MA on Monday, June 15, 2009. Please submit timely responses to these requests and feel free to contact the Office for Multicultural Faculty Careers at BWHOMC@partners.org if you have any questions or concerns.
The Following forms should be returned to us no later than Friday, May 1, 2009:
1. BWH STARS Program Statement of Intent
2. Confidentiality Agreement
3. CORI Request Form
4. Housing Agrement
5. Immunization Records and Tuberculosis (TB) Screening
(Please note, TB screening has to be completed no more than 90 days prior to June 16, 2009)
6. I-9 Form
7. Sponsored Staff Medical Screening Form
8. Sponsored Staff Registration Form
9. W-9 Form
Return Options:
1. You can fax this information to us at (617) 525-7752. Please use a cover sheet and send to the attention of Elena Muench.
2. You can scan these documents and e-mail them to us at BWHOMC@partners.org
3. If you cannot fax or e-mail this information please mail them to us using the information below:
Elena Muench
Program Manager
Center for Faculty Development and Diversity
Brigham and Women's Hospital
1620 Tremont St. BC-3-014
Boston, MA 02120
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