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Dual Career Service

Intake Form

 

 

This intake form is an important first step in working with the Dual Career Service. All information is kept confidential.

On this form, "Client" refers to the spouse or partner of a UC Santa Cruz appointee or candidate. "Spouse" or "Partner" refers to the UC Santa Cruz appointee or candidate.


 

Client Information
 
Name
  First MI Last
Please provide your contact information below:
Address 1
Address 2
City
State           Zip
Phone
Fax
Email
 
 
Spouse/Partner Information
 
Name
  First MI Last
Phone
Email
UCSC Job Title
Department
UCSC Status



 
 
General Information
     
Referred by: 
Interested in:
  Dual Career Service
  Relocation (FRAP)
 
       
Comments/Concerns:
 
        

 

 

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Dual Career Service &
Faculty Relocation Assistance

Contact:
Cecilia De La Garza
Coordinator
Email: facultylink@ucsc.edu
Phone: (831) 459-3891

Dual Career Service
FAQ
Career Links
Job Search Tips
Intake Form
Client Profiles

Faculty Relocation Assistance
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Tips for New Faculty