College HR Requests » College of Dentistry

For UFID/Gator1 bulk requests, please send excel spreadsheet with this information via email to hr@dental.ufl.edu. Please reference Identity Registry Affiliations for the type of affiliation you need.

Requesting:(Required)

Affiliation

Courtesy Faculty Appointment

Request to Fill Position

Name(Required)

Email(Required)

Requesting Department/Department ID(Required)

Additional Information

Affiliation

Type of Affiliation(Required)

(i.e. Departmental Associate, Volunteer, Vendor, Future Staff/Faculty, etc.)

Expiration Date of Affiliation:

Note: Expiration will be 90 days from submission if no expiration date is provided

UFID (if no UFID, please check to request UFID above):

UFID #

Legal Name(Required)

Maiden Name, if applicable

Date of Birth(Required)

*Verification of SSN may also be required

Phone(Required)

Mailing Address(Required)

Street Address City State ZIP Code

Gator1 Card

UFID (if no UFID, please check to request UFID above):

Name(Required)

Title(Required)

Photo(Required)

Accepted file types: jpg, Max. file size: 125 MB.

Must be close-up/cropped, have good lighting, be clear, have a solid background. Please avoid: sunglasses, bad lighting, far away images, hats (Hijabs are allowed, veils are not), inappropriate facial expressions.

Courtesy Faculty

Please review the Courtesy Faculty Process and the Courtesy Faculty Checklist prior to submitting a request. Also note: the dean must approve the courtesy appointment and sign the offer letter before any offer is given. In addition, a health assessment must be completed before any clinical privileges can be given.

Department Admin(Required)

Has the UFID, affiliation and 'network managed by' in Identity Management been assigned?(Required)

(If you are an admin with access, this should be completed prior to submission. The dean’s office will remove the affiliation if the courtesy appointment is not approved.)

Yes

No, I do not have access to do that

Not sure

Name of Potential Faculty(Required)

Faculty Email(Required)

Courtesy Title(Required)

(Clinical Assistant/Associate Professor, Research Assistant Professor, etc.)

Duties(Required)

(i.e. providing clinical teaching in the pre‐doctoral oral surgery clinic)

Expected Start Date(Required)

UFID (if no UFID, please check to request UFID above):

Required Documents(Required)

Drop files here or

Max. file size: 125 MB.

CV and Emergency Contact Form. See Courtesy Faculty Checklist for other required documents. Please also upload the following if you already have copies: CPR/BLS or ACLS card, copy of FL dental license, copy of DEA (if applicable), and board certification (if applicable). Please ensure not to include the SSN – this is not a requirement for Courtesy Appointments.

Request to Fill Position

Additional hiring authority/admin to receive copy of this request:

Please enter email address only

Position Title(Required)

New/Replacement

New

Replacement

Job Edit

Name of employee being replaced/requesting job edit:(Required)

Request to Fill Form (please use updated form at the top of this page)(Required)

Drop files here or

Max. file size: 125 MB.

Please use the updated form above. All signatures of approval are required prior to review. Please attach any documentation that may be necessary for consideration, such as position descriptions, additional justification for the request, etc.