New Member Account Form

When this form is processed the users listed below will receive institutional job posting and HERConnect member portal accounts as requested. Your regional HERC Director may follow up with additional on-boarding documentation.

Member Institution Information

*Required

Member Details:

Primary First Name*:

Primary Last Name*:

Position Title*:

Work Phone*:

Email*:

Is person to contact for issues related to the job board, same as above?*YesNo

Technical Contact: (person to contact for issues related to the job board)

Contact First Name*:

Contact Last Name*:

Contact Position Title*:

Contact Work Phone*:

Contact Email*:

Institution/Organization Information

Institution/Organization Name*:

Institution Address (please use physical address)*:

City*:

State:

Zip Postal Code:

Country*

HERC Region*:

Time Zone*:

Institution URL*:

Dual Career Program URL (will be added to Campuses with Dual Career Programs)

Career Center Contact Name:

Career Center Contact Email:

Institution "About" Description* (this information will appear on the bottom of each job posting):

500 characters left

Member Institution Data

When this form is processed the users listed below will receive access to the HERC job board (includes access to the CV/Resume database) and HERConnect the member portal. Your regional HERC Director may follow up with additional on-boarding documentation.

Your Organization Type*:

List Faculty Applicant Tracking System (ATS):

List Staff Applicant Tracking System (ATS):

How do you plan to post your jobs? (refer to job posting options for more details):

Sector:

Carnegie Classification:

Endowment:

Enrollment:

Budget:

Number Of Employees:

Institution Type:

Are you a Minority Serving Institution, if so please choose MSI type:

Additional User Accounts

Each user is automatically added to the secure member portal, HERConnect.

Please include your Billing Contact and Chief Diversity Officer. We recommend also adding these users: Chief HR Officers, Diversity Officers, Vice Provosts, Faculty Affairs, Search Committee Chairs, Search Committee Members, Department Chairs, Deans, Dual Career Directors and accompanying staff to access all HERC resources.

Add User*:NoYes

Select "Yes" to Add User and repeat steps to add additional users.

User Name

Position Title

Work phone

Add Another User:NoYes

User Name

Position Title

Work phone

Add Another User:NoYes

User Name

Position Title

Work phone

Terms & Conditions

Click to view HERC's terms and conditions

I agree to HERC's terms and conditions*:Yes

Your Name*:

We recommend adding these users: Chief HR Officers, Diversity Officers, Vice Provosts, Faculty Affairs, Search Committee Chairs, Search Committee Members, Department Chairs, Deans, Dual Career Directors, Billing Contact and accompanying staff to access all HERC resources.

New Member Account Form

Member Institution Information

Member Institution Data

Additional User Accounts

Terms & Conditions

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Regional HERCS