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

Primary User Name*:

Position Title*:

Work Phone*:

Email*:

Institution/Organization Name*:

Institution Address (please use physical address)*:

City*:

State*:

Zip Postal Code*:

Country*

HERC Region*:

Time Zone*:

Institution URL*:

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

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*:

Job Posting Option (refer to job posting options or more detail):

Applicant Tracking System:

If your ATS is not shown in the above list, please enter the name here

Sector:

Carnegie Classification:

Endowment:

Enrollment:

Budget:

Number Of Employees:

Institution Type:

Minority Serving Institution:

Additional User Accounts

Members have the ability to add more users to their institutional job board account at any time and new users can request HERConnect access at any time by registering for an account.

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.

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

Add 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*:

A copy of your responses will be emailed to the address you provided for the primary contact.

New Member Account Form

Member Institution Information

Member Institution Data

Additional User Accounts

Terms & Conditions

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