BU Terrier Card Request Form

(For non-student Charles River Campus affiliates only)

Full time Students should NOT use this form. Please contact the Terrier Card Office at (617) 353-9966.

General information: Has this individual worked or studied at BU previously? Yes No

Has this individual had a BU Terrier Card before? Yes No Is this individual being compensated through BU Payroll? Yes No

Is this individual being entered into SAP? Yes No

Does this individual receive sponsorship through BU ISSO? Yes No

Information about the individual needing an ID Card:

U# (if already assigned):

Gender: Male Female Last name:

First name:

Middle name:

Department information: Department name:

Position:

Legacy Department number (unit/dept): Effective date of assignment (MM/DD/YY):

Brief description of assignment:

End date of assignment (MM/DD/YY): If the “end date” is not provided the Terrier card will be inactivated six months from “effective date” – unless

individual has a BU payroll record

Notes/Comments:

Affiliation (Please check one)

Academic Research Job Family (ARJF)

Faculty not eligible for Orientation Faculty requiring Terrier Card prior to

scheduled orientation date

Visiting scholar (non-ARJF version) Fraunhofer employee

Military affiliate

Chaplain/affiliated chaplain Temporary agency personnel

Temporary employee, paid through BU

payroll Other (please specify):

All Temporary employees must provide business need/reason for Terrier Card:

Form completed and approved by (please print):

Department head or designee name: Title:

Department name:

Phone number: Email: Signature: Date:

Please Note: To create a UID number, you will be asked to provide your Social Security Number and

Date of Birth to the front desk staff at Human Resources.

To be completed by Charles River Human Resources

BU ID issued on (MM/DD/YY): By:

INSTRUCTIONS for Completing the BU Terrier Card Request Form This form is used to request a BU Terrier (ID) Card for non-regular staff (temporary employees, temporary agency personnel, temporary faculty and research staff not eligible for orientation) assigned to the Charles River Campus. This form must be completed in full prior to coming to Human Resources. To receive a Terrier Card, the individual must bring this completed and signed form along with a valid, government issued form of identification to the Charles River Human Resources office, Monday through Friday from 9:00 AM - 12:00 PM or 1:30 PM – 4:30 PM This form should be completed and signed by the appropriate Vice President, Dean, Director or designee. The individual will have his/her photo taken in Human Resources and will be issued a Terrier Card. If the “End date of assignment” section is left blank the Terrier card will be inactivated six months from the “Effective date of assignment” – unless the individual has an active BU payroll record. It is not necessary to complete this form for full and part time staff who are hired through Human Resources. It is not necessary to complete this form for regular Faculty members who are scheduled to attend new employee orientation (unless the faculty member needs his/her Terrier Card prior to the week he/she is scheduled for Orientation). International Employees/Scholars All non-US Citizens, non-permanent residents, must visit International Students and Scholar Office (ISSO) for the creation of BU ID number, and must receive written confirmation of their BU ID number from (ISSO). A copy of the ISSO letter, or ISSO email, confirming the BU ID number must be attached to the BU Terrier Card Request Form in order to receive a Terrier Card. All international employees who will receive financial compensation from BU, must go to the ISSO within three (3) days of commencing employment in order to complete Form I-9 Employment Eligibility Verification. The ISSO is located at 888 Commonwealth Ave., 2nd floor, and I-9’s are completed during the following times: Tuesdays 9:00-10:00 AM, Wednesdays 4:00-5:00 PM, and Thursdays 1:00-2:00 PM. In addition to providing valid employment authorization, international employees must also bring proof of a BU academic appointment or job offer letter to ISSO. ______________________________________________________________________________ A Terrier Card is not necessary to request an email account, SAP access, UIS access, or Kerberos password. Please see your departmental Data Security Administrator, Payroll Coordinator, or other departmental designee to request access. For questions please call (617) 353-2380.