New Employee Form
MPLP New Staff Information FormName:________________________________________________________
Position:______________________________________________________
Program:______________________________________________________
Office:_______________________________________________________
Do you need a MLAN email account? Yes or No
If No, what is your email address:____________________________
Areas of Concentration (if any):___________________________________
Date Hired:____________________________________________________
Person Submitting Information:____________________________________
Date:_____________________
Please fax or email this to Adrianna Buonarroti at MPLP. Fax number (734) 998-9125.
For MPLP use: ___MLAN.net account ___address database ___Desk Reference ___new employee packet
CORT Trial Advocacy Skills Training (TAST)
