<p> AN APPOINTMENT WITH PAYROLL IS REQUIRED Please contact Kristina Racher Phone: (330) 672-8641 E-mail: [email protected]</p><p>GLACIER Account Setup Information (Use this form for employees attending Kent State University on a Visa)</p><p>Job Title or Description:</p><p>Do you have a Social Security Number or ITIN? YES NO</p><p>BANNER ID:</p><p>Please use the name that is on your Social Security Card. Please print legibly.</p><p>Name (First):</p><p>(Middle):</p><p>(Last or Family):</p><p>Please use your Kent.edu address:</p><p>E-mail Address:</p><p>Phone Number:</p><p>RETURN THIS COMPLETED FORM DURING YOUR APPOINTMENT:</p><p>Kent State University Payroll Department Attn: Kristina Racher P.O. Box 5190 236 Schwartz Center Kent, OH 44242 Please call 330-672-8641 with questions</p><p>Payroll Use Only:</p><p>Rec’d & Entered:</p><p>Rev. 08/06/2013</p>