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New Employee Information Form

For use by departmental managers or personnel representatives. Please make sure to fill out this form completely. Upon completion, scroll to the end of the page to select the "submit" button.

Departmental Manager / Contact Person Information

Name:

Department:

Campus address:

Campus phone number:

Campus fax number:

E-mail address: (Required)

Employee Information

Name:

Please indicate type of action: (Required to select one of the following)

		New hire to IU
		Hourly to appointed staff percentage (i.e., 50%, 100%)
		Change in appointed FTE (i.e., 50% to 100%) From % To %
		Transfer to another position within same classification
		Transfered Support/Service to Professional (PA)
		Transfered Professional to Support or Service
		Transfer from Academic/Faculty
		Other

HRMS Position Number:

Rank:

FTE: (Required)

Effective Appointment Date:

Complete the following information (if available) if different from contact person.

Department:

Campus address:

Campus phone number:

Campus fax number:

E-mail address:

Comments:

Additional information needed for academic faculty appointees ONLY:

NOTE: This area is NOT for employees paid from 2300 object/expense class. This area is only for academic faculty employees eligible for employee insurance benefit enrollments.

Object/Position number (example: 2002):
Academic year appointment? (check one)	yes no
Appointment nine months or more? (check one)	yes no