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 onboarding 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

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

Users added to this form will receive access to the HERC Jobs job board (including the CV/Resume database) and HERConnect, the member portal.

If you have a large list of contacts, you may submit those to our tech support team after your account has been activated.

Recommended User Types to Include: Human Resources Professionals, Recruiters / Talent Acquisition Professionals, Workforce Inclusion Professionals, Academic Affairs and Institutional Leadership, Compliance Professionals, Work-Life / Dual Career Professionals, and supporting staff who would benefit from access to 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

Add Another User:NoYes

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*:

New Member Account Form

Member Institution Information

Member Institution Data

Additional User Accounts

Terms & Conditions

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