BSAC New Appointment Form
Complete the following form then click "submit."
Ms., Mr., Dr., etc. *
First Name *
Your answer
Last Name *
Your answer
Position *
Department *
Organization *
UC Office or Lab Address *
Example: 656 Sutardja Dai Hall
Your answer
UC Office or Lab Phone Number *
Example: (555) 555-5555
Your answer
Cell Number
Example: (555) 555-5555
Your answer
UC Email Address *
Example: bsac@berkeley.edu. If you do not have a UC email, enter your primary email address.
Your answer
Alternate Email Address *
Gmail, etc., NOT a "berkeley.edu" or "ucdavis.edu" address.
Your answer
Advisor *
Degree Sought *
Start Date *
Month/Year
Your answer
Anticipated Departure Date *
Month/Year
Your answer
Project Code or Research Partner(s) *
Enter "N/A" if you have not yet been assigned to a project.
Your answer
Submit
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