HOW DID YOU LEARN ABOUT NYP HOUSING? (REQUIRED: PLEASE ONE) Human Resources Infonet RE Website RE Posters Other (write below) Resident Referral Dept. Referral Video NYP Press ________________ ☑ PERSONAL DATA: Name: Employment Date: Address: Today’s Date: Home Tel.#: ( ) Employee Number: Cell Phone #: ( ) Fax #: ( ) (IMPORTANT: Email Address: PRINT CLEARLY) EMPLOYMENT DATA: Position: Base Lab Fellow Department: Neurological Surgery Chairman/Supervisor: Antonio Bernardo M.D. If House Staff list PGY: Status: Full Time Part Time NYP Tel. #: (212) 746-1468 Work Email Address: Beeper #: ( ) Employer: NYP-East Campus NYP-West Campus ☑ Cornell University Employment Verification: Hospital Identification Card ☑ New Hire Offer Letter APARTMENT DATA: APARTMENT TO BE SHARED WITH: APPLICATION FOR: NO ONE DORMITORY
HOW DID YOU LEARN ABOUT NYP HOUSING? (REQUIRED: PLEASE ONE) Human Resources Infonet RE Website RE Posters Other (write below) Resident Referral ☑ Dept. Referral Video NYP Press ________________ PERSONAL DATA: Name: Employment Date: Address: Today’s Date: Home Tel.#: ( ) Employee Number: Cell Phone #: ( ) Fax #: ( ) (IMPORTANT: PRINT CLEARLY) Email Address: EMPLOYMENT DATA: Position: Base Lab Fellow Department: Neurological Surgery If House Staff list PGY: Chairman/Supervisor: Antonio Bernardo M.D. Status: Full Time Part Time NYP Tel. #: (212) 746-1468 Work Email Address: Beeper #: ( ) Employer: NYP-East Campus NYP-West Campus ☑ Cornell University Employment Verification: ☑ New Hire Offer Letter Hospital Identification Card APARTMENT DATA: APARTMENT TO BE SHARED WITH: APPLICATION FOR: NO ONE DORMITORY