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HOWARD UNIVERSITY CONTRACTOR INFORMATION FORM LAST NAME FIRST NAME ORGANIZATION JOB TITLE PHONE NUMBER EMAIL START DATE END DATE H. U. SPONSOR PHONE DEPARTMENT H. U. SPONSOR S SIGNATURE AUTHORIZED H. U. SIGNATURE CONTRACTOR S SIGNATURE Signature by contractor acknowledges that an official Howard University photo identification card will be issued for the explicit use of conducting business at HU during those hours as approved by sponsoring office or department. This card is the property of Howard University it is to be returned to the sponsoring office prior to departure and is subject to revocation at the discretion of the University at any time. If the card is lost damaged or stolen there will be a 50. 00 replacement fee. OFFICE USE ONLY CARD NUMBER DATED ISSUED. U. SPONSOR PHONE DEPARTMENT H. U. SPONSOR S SIGNATURE AUTHORIZED H. U. SIGNATURE CONTRACTOR S SIGNATURE Signature by contractor acknowledges that an official Howard University photo identification card will be issued for the explicit use of conducting business at HU during those hours as approved by sponsoring office or department. This card is the property of Howard University it is to be returned to the sponsoring office prior to departure and is subject to revocation at the discretion of the University at any time. This card is the property of Howard University it is to be returned to the sponsoring office prior to departure and is subject to revocation at the discretion of the University at any time. If the card is lost damaged or stolen there will be a 50. 00 replacement fee. OFFICE USE ONLY CARD NUMBER DATED ISSUED. U. SPONSOR PHONE DEPARTMENT H. U. SPONSOR S SIGNATURE AUTHORIZED H. U. SIGNATURE CONTRACTOR S SIGNATURE Signature by contractor acknowledges that an official Howard University photo identification card will be issued for the explicit use of conducting business at HU during those hours as approved by sponsoring office or department. This card is the property of Howard University it is to be returned to the sponsoring office prior to departure and is subject to revocation at the discretion of the University at any time. If the card is lost damaged or stolen there will be a 50. 00 replacement fee. OFFICE USE ONLY CARD NUMBER DATED ISSUED.

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