Fillable EKB License Application Fillable (State University of New York College of Agriculture and Technology at Cobleskill)

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EKB License Application Fillable (State University of New York College of Agriculture and Technology at Cobleskill)

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U.S.A. forms for State University of New York College of Agriculture and Technology at Cobleskill

BROWSE STATE UNIVERSITY OF NEW YORK COLLEGE OF AGRICULTURE AND TECHNOLOGY AT COBLESKILL FORMS

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NEW YORK STATE/UNITED UNIVERSITY PROFESSIONS
JOINT LABOR-MANAGEMENT COMMITTEES
EMPIRE KNOWLEDGEBANK (EKB) eLEARNING PROGRAM LICENSE APPLICATION
I. APPLICANT INFORMATION
Name: Title/Rank: ______________________________________
Division/Department/Program:
Campus:
Work Mail Address:
Work Telephone: Work Email:
I understand that use of the EKB license during normal business hours will be permitted for job or career
related courses only, subject to prior approval.
Applicant Signature: _________________________________________ Date: ___________________________
II. ACKNOWLEDGEMENT OF DIVISION/DEPARTMENT/PROGRAM
This employee will be granted time to use the EKB license to take job or career related courses only during
normal business hours, subject to prior approval.
Name (Print): _____________________________________ Title:
Work Phone: _____________________________________ Work Email: _______________________________
Signature: Date:
For additional information contact NYS/UUP JLMC staff at: 518.486.4666
Return application to NYS/UUP JLMC by mail, email or fax at: NYS/UUP Joint Labor-Management
Committees
2 Empire State Plaza, 13th Floor
Albany, New York 12223
FAX: 518.486.9220
Email: nysuuplmc@goer.ny.gov
The New York State/United University Professions Joint Labor-Management Committees do not discriminate on the basis of race,
color, national origin, gender, religion, age, disability, or sexual orientation in the admission to, access to, or employment in its
program activities. Reasonable accommodation will be provided on request.
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EKB License Application Fillable (State University of New York College of Agriculture and Technology at Cobleskill)

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Completed 26 July 2020

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