PM-11 Form A
SECTION 1) EMPLOYEE INFORMATION
To login, use your LSUHSC master account credentials e.g. user name and password.
Fiscal Year (Please Select)
I hereby acknowledge that I have read and understand Louisiana State University current policy on Outside Employment;
(http://apps.lsuhscshreveport.edu/pm11/default.aspx). I affirm that the information provided is to the best of my knowledge true and complete and does not misstate any facts. I will provide any additional information as requested by the Office of Legal Affairs and Organizational Integrity.
I have outside employment.